Provider Demographics
NPI:1447493713
Name:BYRNE, DOREEN ANN (CRNP)
Entity type:Individual
Prefix:
First Name:DOREEN
Middle Name:ANN
Last Name:BYRNE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:DOREEN
Other - Middle Name:ANN
Other - Last Name:MCLAUGHLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1220B E JOPPA RD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21286-5813
Mailing Address - Country:US
Mailing Address - Phone:410-494-1888
Mailing Address - Fax:410-494-1008
Practice Address - Street 1:1220B E JOPPA RD
Practice Address - Street 2:SUITE 310
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21286-5813
Practice Address - Country:US
Practice Address - Phone:410-494-1888
Practice Address - Fax:410-494-1008
Is Sole Proprietor?:No
Enumeration Date:2009-04-15
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR162094363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health