Individual provider · Type 1 NPI
Raycor Faderugao, CRNP
Acute Care Nurse Practitioner · Baltimore, MD
NPI number
1417323445
Active
Practice location
600 N Wolfe St, Osler 0-600
Baltimore, MD 21287-0005
Fax (410) 955-7363
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | R160569 (MD) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1417323445
Raycor Faderugao, CRNP's National Provider Identifier is 1417323445, issued on Aug 13, 2015. 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 Nov 18, 2015.