Individual provider Active NPI

Nancy V Lorsong, CRNP

  • Nurse Practitioner
  • Princess Anne, MD
National Provider Identifier
1053408641
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R071520 Issued in MD
Practice address
Backbone Rd
Charles Drew Student Health Center
Princess Anne, MD 21853
Phone
(410) 651-6597
Fax
(410) 651-6702
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R071520 MD Primary

Addresses

Primary practice location

Backbone Rd
Charles Drew Student Health Center
Princess Anne, MD 21853

Mailing address

25830 Bee Tree Rd
Henderson, MD 21640-1449
Phone (410) 482-6044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R071520MDMDNurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053408641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25830 BEE TREE RD",
            "city": "HENDERSON",
            "state": "MD",
            "postal_code": "216401449",
            "telephone_number": "410-482-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BACKBONE RD",
            "address_2": "CHARLES DREW STUDENT HEALTH CENTER",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "21853",
            "telephone_number": "410-651-6597",
            "fax_number": "410-651-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORSONG",
        "first_name": "NANCY",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R071520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princess Anne, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.