Provider Demographics
NPI:1275529828
Name:DIAZ SALDANO, DAWN (NP)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:DIAZ SALDANO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8233 TOWNSHIP DR
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5417
Mailing Address - Country:US
Mailing Address - Phone:773-531-7461
Mailing Address - Fax:773-880-3339
Practice Address - Street 1:6600 YORK RD STE 112
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-2029
Practice Address - Country:US
Practice Address - Phone:888-535-2534
Practice Address - Fax:304-903-6691
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209003826363LP0200X
MDR250895363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics