NPI 1174080014 · live from the CMS NPI Registry
Danielle Dacosta, RN
Registered Nurse, General Practice in Baltimore, MD. National Provider Identifier 1174080014, active.
NPI record
| NPI | 1174080014 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 330 N Howard St, Baltimore, MD 21201 |
| Practice phone | 410-576-1414 |
| Mailing address | 10547 Beacon Ridge Dr, Bowie, MD 20721 |
| Enumerated | February 27, 2019 |
| Last updated | February 27, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | R210790 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.