Provider Demographics
NPI:1740216761
Name:GOLDSCHER, JANET M (CRNP)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:M
Last Name:GOLDSCHER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 CROSSROADS DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5441
Mailing Address - Country:US
Mailing Address - Phone:410-998-9100
Mailing Address - Fax:410-998-9104
Practice Address - Street 1:21 CROSSROADS DR
Practice Address - Street 2:SUITE 400
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5441
Practice Address - Country:US
Practice Address - Phone:410-998-9100
Practice Address - Fax:410-998-9104
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR077259164W00000X
MDR077059363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDC31152OtherR/R MEDICARE GROUP PIN
MD26471200Medicaid
MDP00759900OtherR/R MEDICARE PIN
MD26471200Medicaid
MDC746Medicare PIN
MD157069ZD3RMedicare PIN
MD156606Medicare PIN