Provider Demographics
NPI:1306835681
Name:ACRI, NADINE B (MD)
Entity Type:Individual
Prefix:
First Name:NADINE
Middle Name:B
Last Name:ACRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8100 SANDPIPER CIRCLE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:WHITE MARSH
Mailing Address - State:MD
Mailing Address - Zip Code:21236
Mailing Address - Country:US
Mailing Address - Phone:410-931-2274
Mailing Address - Fax:410-931-2273
Practice Address - Street 1:8100 SANDPIPER CIRCLE
Practice Address - Street 2:SUITE 208
Practice Address - City:WHITE MARSH
Practice Address - State:MD
Practice Address - Zip Code:21236
Practice Address - Country:US
Practice Address - Phone:410-931-2274
Practice Address - Fax:410-931-2273
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDOO57782207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDH24764Medicare UPIN
MD566M878FMedicare ID - Type Unspecified