Organization · Type 2 NPI
Genesis Healthcare Inc
Psychiatric/Mental Health Nurse Practitioner · Randallstown, MD
NPI number
1265295125
Active
Practice location
8509 Glen Michael Ln Apt T3
Randallstown, MD 21133-5227
Mailing address
127 Pittston Cir
Owings Mills, MD 21117-1723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry Physician | 2084P0800X | None listed |
| Addiction Psychiatry Physician | 2084P0802X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1265295125
Genesis Healthcare Inc's National Provider Identifier is 1265295125, issued on Feb 2, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Randallstown, MD. The record was last updated on May 28, 2025.