Provider Demographics
NPI:1942712559
Name:EKEY, CAROLINE (FNP-CRNP)
Entity Type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:
Last Name:EKEY
Suffix:
Gender:F
Credentials:FNP-CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8028 RITCHIE HWY
Mailing Address - Street 2:STE 210B
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122-1059
Mailing Address - Country:US
Mailing Address - Phone:443-416-4023
Mailing Address - Fax:
Practice Address - Street 1:1314 BEDFORD AVE STE 113
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208
Practice Address - Country:US
Practice Address - Phone:480-878-7806
Practice Address - Fax:443-732-0054
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-05
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR150254363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily