Provider Demographics
NPI:1770262347
Name:MUSUMECI, JOANNA (CRNP)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:MUSUMECI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:JOANNA
Other - Middle Name:
Other - Last Name:PERAINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:345 SAINT PAUL PLACE
Mailing Address - Street 2:DEPT. OF MEDICINE, 7TH FLOOR
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202
Mailing Address - Country:US
Mailing Address - Phone:410-332-9694
Mailing Address - Fax:
Practice Address - Street 1:345 SAINT PAUL PLACE
Practice Address - Street 2:DEPT. OF MEDICINE, 7TH FLOOR
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-2123
Practice Address - Country:US
Practice Address - Phone:410-332-9694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR204829363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily