Individual provider · Type 1 NPI

Ronald D. Distler, CRNP

Psychiatric/Mental Health Nurse Practitioner · Rosedale, MD

NPI number 1114081924 Active

Practice location

6918 Ridge Rd
Rosedale, MD 21237-3854

Fax (443) 442-1569

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XR136284 (MD)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1114081924

Ronald D. Distler, CRNP's National Provider Identifier is 1114081924, issued on Dec 19, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Rosedale, MD. The record was last updated on Aug 12, 2010.