Individual provider · Type 1 NPI
Crystal Elizabeth Ratanavanich
Acute Care Nurse Practitioner · Baltimore, MD
NPI number
1104694603
Active
Practice location
1800 Orleans St
Baltimore, MD 21287-0010
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | R199391 (MD) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1104694603
Crystal Elizabeth Ratanavanich's National Provider Identifier is 1104694603, issued on Dec 13, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Baltimore, MD. The record was last updated on Jul 7, 2026.