Individual provider · Type 1 NPI

Dmitry Bederak, DNP, CRNP

Gerontology Nurse Practitioner · Baltimore, MD

NPI number 1194490250 Active

Practice location

6701 N Charles St Ste 4105
Baltimore, MD 21204-6881

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XR204060 (MD)
Primary Care Nurse Practitioner 363LP2300XR204060 (MD)
Gerontology Nurse Practitioner Primary 363LG0600XR204060 (MD)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1194490250

Dmitry Bederak, DNP, CRNP's National Provider Identifier is 1194490250, issued on Aug 11, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Baltimore, MD. The record was last updated on Jul 23, 2022.