Provider Demographics
NPI:1003838202
Name:ZEITZOFF, LINDA R (CRPNP)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:R
Last Name:ZEITZOFF
Suffix:
Gender:F
Credentials:CRPNP
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:2401 W BELVEDERE AVE
Mailing Address - Street 2:ATTN: CREDENTIALING
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-5216
Mailing Address - Country:US
Mailing Address - Phone:410-601-5524
Mailing Address - Fax:410-601-8946
Practice Address - Street 1:2411 W BELVEDERE AVENUE, SUITE 205
Practice Address - Street 2:MORTON MOWER, M.D., MOB
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215
Practice Address - Country:US
Practice Address - Phone:410-601-8331
Practice Address - Fax:410-601-8859
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR101314363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics