Provider Demographics
NPI:1699057109
Name:LOMBARDI, EUGENIA A (RN, CRNP)
Entity type:Individual
Prefix:MS
First Name:EUGENIA
Middle Name:A
Last Name:LOMBARDI
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Gender:F
Credentials:RN, CRNP
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Mailing Address - Street 1:6009 HUNT RIDGE RD
Mailing Address - Street 2:3211
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21210-1115
Mailing Address - Country:US
Mailing Address - Phone:410-617-5055
Mailing Address - Fax:410-617-2173
Practice Address - Street 1:4502A N CHARLES ST.
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21210
Practice Address - Country:US
Practice Address - Phone:410-617-5055
Practice Address - Fax:410-617-2173
Is Sole Proprietor?:No
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR027555364SA2200X, 364SG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
No364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology