Provider Demographics
NPI:1982695201
Name:SPRANZA, JANNA L (CRNP)
Entity Type:Individual
Prefix:MS
First Name:JANNA
Middle Name:L
Last Name:SPRANZA
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:JANNA
Other - Middle Name:L
Other - Last Name:EVERHART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:9910 FRANKLIN SQUARE DR # 2110
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4902
Mailing Address - Country:US
Mailing Address - Phone:410-933-5412
Mailing Address - Fax:410-933-1390
Practice Address - Street 1:6350 STEVENS FOREST RD STE 102
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-3240
Practice Address - Country:US
Practice Address - Phone:443-259-3770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR150490363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD400174500Medicaid
MD500028049OtherRR MEDICARE
MD120295OtherJHHC PROVIDER NUMBER
MD617959-05OtherCAREFIRST BCBS OF MARYLAND
MD1968539OtherAETNA HMO
MD7605-0059OtherCAREFIRST BLUECHOICE
MD9946204OtherAETNA PPO
MD202999ZARMedicare PIN
MD9946204OtherAETNA PPO