EMILY COLLEEN PETITO


Address: 401 N Broadway St, Sidney Kimmel Comprehensive Cancer Center, Baltimore, MD 21287-0019
Phone: 4109558893

EMILY COLLEEN PETITO (NPI# 1720229685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720229685
Entity Type Individual
Full Name EMILY COLLEEN PETITO
Other Name EMILY COLLEEN MARSHALL
Credential CRNP
Practice Address 401 N Broadway St
Sidney Kimmel Comprehensive Cancer Center
Baltimore
MD 21287-0019
Mailing Address 3002 Hunting Ridge Dr
Owings Mills
MD 21117-4950
Practice Telephone 4109558893
Mailing Telephone 4103568016
Enumeration Date 2009-03-23
Last Update Date 2009-10-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
R163713 MD Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD 023692600 05

Office Location

Street Address 401 N BROADWAY ST
SIDNEY KIMMEL COMPREHENSIVE CANCER CENTER
City BALTIMORE
State MD
Zip Code 21287-0019

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720071459 Peter Illei Pathology 401 N Broadway St, Weinberg Bldg. Rm. 2242, Baltimore, MD 21231-2410 2005-08-29
1780282756 Laurie Bryant Clinical Nurse Specialist 401 N Broadway St, Baltimore, MD 21287-0019 2020-10-13
1881292118 Alexandra Kaley Hrynda Nurse Practitioner 401 N Broadway St, Baltimore, MD 21287-0019 2020-10-09
1558919498 Brett Ashley Myers Physician Assistant 401 N Broadway St, Baltimore, MD 21287-0019 2019-09-03
1679125629 Kiryoung Kim Nurse Practitioner 401 N Broadway St, Baltimore, MD 21287-0019 2019-07-10
1770145054 Laura Clayton Nurse Practitioner 401 N Broadway St, Baltimore, MD 21287-0019 2019-07-08
1427610328 Cory Ann Schulz Nurse Practitioner 401 N Broadway St, Baltimore, MD 21287-0019 2019-07-01
1902463375 Michael Herman Chui Pathology 401 N Broadway St, Baltimore, MD 21287-0019 2019-05-21
1245732320 Isabel Mackinnon Lobes Registered Nurse 401 N Broadway St, Baltimore, MD 21287-0019 2018-03-05
1801334651 Rachel Klein Nurse Practitioner 401 N Broadway St, Baltimore, MD 21287-0019 2017-02-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174140503 Thomas Dimitrios Zaikos Student in an Organized Health Care Education/Training Program Pathology Building Rm. 401, 600 N. Wolfe Street, Baltimore, MD 21287 2020-07-01
1316572175 Sarah Branigan Pediatrics Johns Hopkins Children's Center, 1800 Orleans Street, Baltimore, MD 21287 2020-03-11
1790318657 Margaret Geraldine Keane Internal Medicine Sheikh Zayed Tower, 1800 Orleans St, Baltimore, MD 21287 2020-02-19
1699322636 Lakeya Mcgill Student in an Organized Health Care Education/Training Program 600 North Wolfe St, Phipps 174, Baltimore, MD 21287 2019-08-23
1245882406 Ranim Amer Ibrahim Alsaad Student in an Organized Health Care Education/Training Program 1800 Orleans Street - Johns Hopkins Hospital, Tower 110, Baltimore, MD 21287 2019-07-09
1992364004 Anthony David Pisaniello Student in an Organized Health Care Education/Training Program 1800 Orleans St, Johns Hopkins Hospital, Baltimore, MD 21287 2019-06-12
1255990503 Ethan Tumarkin Student in an Organized Health Care Education/Training Program 600 N. Wolfe St./halsted 500, Baltimore, MD 21287 2019-06-11
1629636386 Kathleen Anne Malloy Counselor Jhh 600 N. Wolfe St., Cpp- Meyer 144, Baltimore, MD 21287 2019-05-29
1285298489 Ashleigh Graham Student in an Organized Health Care Education/Training Program Pathology Building, Rm 401, 600 N. Wolfe Street, Baltimore, MD 21287 2019-04-24
1851955066 Seena Tabibi Student in an Organized Health Care Education/Training Program Pathology Department Johns Hopkins University Som, Pathology Building Rm 401, 600 North Wolfe Street, Baltimore, MD 21287 2019-04-24
Find all providers in zip 21287

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659981728 Jamie Briddell Nurse Practitioner 250 N Calvert St, Baltimore, MD 21202-3505 2020-08-04
1790300903 Hall Diabetes Management and Resource Center PC Nurse Practitioner 1900 E Northern Pkwy Ste T1, Baltimore, MD 21239-2120 2020-06-12
1356978530 Melissa Irvin Sahm Nurse Practitioner 2634 Guilford Ave, Baltimore, MD 21218-4611 2020-03-26
1821646092 Aaron Murfin Nurse Practitioner 1055 W Market St Ste H, Baltimore, OH 43105-1284 2019-08-29
1669024543 Alpa Uchil Nurse Practitioner 601 N Caroline St Ste 5061, Baltimore, MD 21287-0006 2019-07-11
1982169918 Stephanie Ann Wagner Nurse Practitioner 5601 Loch Raven Blvd Bldg Suite502, Baltimore, MD 21239-2945 2019-02-04
1386118289 Dia Lynae Johnson Nurse Practitioner 4101 Glenhunt Rd, Baltimore, MD 21229-1705 2019-01-14
1083181077 Gilah Speedone Nurse Practitioner 5915 Western Park Dr, Baltimore, MD 21209-3416 2018-10-27
1144719634 Kathryn Ellen Menzel Nurse Practitioner 601 N Caroline St Fl 7, Baltimore, MD 21287-0006 2018-05-09
1659815520 Leonard Mugo Nurse Practitioner 4611 Southwood Ave, Baltimore, MD 21206-2245 2016-12-13
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Competitor

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City BALTIMORE
Zip Code 21287

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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