Provider Demographics
NPI:1265525364
Name:COMPTON, JUNE F (CRNP)
Entity type:Individual
Prefix:
First Name:JUNE
Middle Name:F
Last Name:COMPTON
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 1:8725 LOCH RAVEN BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21286-2227
Mailing Address - Country:US
Mailing Address - Phone:410-828-8100
Mailing Address - Fax:410-882-3310
Practice Address - Street 1:200 E 33RD ST
Practice Address - Street 2:SUITE 551
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-3322
Practice Address - Country:US
Practice Address - Phone:410-828-8100
Practice Address - Fax:410-882-3310
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR037696174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDKN80110WMedicare ID - Type Unspecified