Provider Demographics
NPI:1467892323
Name:SORBELLO, KORTNI PEDLOW (CRNP)
Entity Type:Individual
Prefix:
First Name:KORTNI
Middle Name:PEDLOW
Last Name:SORBELLO
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:998 HOSPITALITY WAY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ABERDEEN
Mailing Address - State:MD
Mailing Address - Zip Code:21001-1762
Mailing Address - Country:US
Mailing Address - Phone:410-297-9500
Mailing Address - Fax:410-297-9016
Practice Address - Street 1:998 HOSPITALITY WAY
Practice Address - Street 2:SUITE 102
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-1762
Practice Address - Country:US
Practice Address - Phone:410-297-9500
Practice Address - Fax:410-297-9016
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR183969363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily