Provider Demographics
NPI:1699730010
Name:ORLANDO-HART, RENEE J (CRNP)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:J
Last Name:ORLANDO-HART
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1860 REISTERSTOWN RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-1335
Mailing Address - Country:US
Mailing Address - Phone:410-484-4044
Mailing Address - Fax:410-740-4776
Practice Address - Street 1:41 MAGNA WAY
Practice Address - Street 2:SUITE 100
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-3008
Practice Address - Country:US
Practice Address - Phone:410-751-6684
Practice Address - Fax:410-751-2371
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR168932363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
P48248Medicare UPIN
MD463MN783Medicare PIN