Provider Demographics
NPI:1437674850
Name:DENNIS, LINDA (FNP)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:DENNIS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8860 COLUMBIA 100 PKWY STE 210
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2383
Mailing Address - Country:US
Mailing Address - Phone:301-957-0372
Mailing Address - Fax:410-224-1428
Practice Address - Street 1:8860 COLUMBIA 100 PKWY STE 210
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2383
Practice Address - Country:US
Practice Address - Phone:301-957-0372
Practice Address - Fax:410-224-1428
Is Sole Proprietor?:No
Enumeration Date:2017-08-07
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR199109363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
F07170018OtherAANPCB
MDR199109OtherMARYLAND BOARD OF NURSING