Provider Demographics
NPI:1043852478
Name:GOLDSCHMIDT, ERIC (DNP, FNP-BC, AGNP-BC)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:GOLDSCHMIDT
Suffix:
Gender:M
Credentials:DNP, FNP-BC, AGNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 INTERNATIONAL CIR
Mailing Address - Street 2:
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21030-1334
Mailing Address - Country:US
Mailing Address - Phone:410-433-2200
Mailing Address - Fax:
Practice Address - Street 1:301 INTERNATIONAL CIR STE 100
Practice Address - Street 2:
Practice Address - City:HUNT VALLEY
Practice Address - State:MD
Practice Address - Zip Code:21030-1334
Practice Address - Country:US
Practice Address - Phone:410-433-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-17
Last Update Date:2019-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR185125363LA2200X, 363LG0600X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology