Mobile NP LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

R158140 Issued in MD

Legal business name

MOBILE NP LLC

Practice address

3927 McDonogh Rd
Randallstown, MD 21133-3633

Phone

(410) 963-5535

Fax

(410) 655-2969

NPI assigned

Jul 11, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Veronica Annette Holland-Barner, C.R.N.P

Title

Nurse Practitioner

Phone

(410) 963-5535

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1548612799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3927 MCDONOGH RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211333633",
            "telephone_number": "410-963-5535",
            "fax_number": "410-655-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3927 MCDONOGH RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211333633",
            "telephone_number": "410-963-5535",
            "fax_number": "410-655-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE NP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "HOLLAND-BARNER",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "410-963-5535",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.R.N.P"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "R158140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1437133873",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan H Mitnick, M.D.
• Michael Nader Mitry
• Caleb Mitzel
• MNR Industries, LLC
• Mobile NP LLC
• Mohamed Mwinyimvua Mohamed, MD
• Christina A. Morgan, PTA
• Morning Star Group Services Inc
• Celeste Mortenson, C.O.T.A.
• Barnitta Latricia Moses, CPNP

• Primary Care Clinic/Center in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.