Danica Aguilar, FNP-BC

Individual provider Active NPI Family Nurse Practitioner · Crofton, MD

NPI 1760112957 · NPPES record last updated Oct 30, 2023

Key facts

NPI
1760112957
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
210110 (MD)
Practice address
2003 Davidsonville Rd
Crofton, MD 21114-1317
Phone
(410) 721-3762
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
210110MDMDFamily Nurse Practitioner
R210110MDMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R210110 MD
Family Nurse Practitioner 363LF0000X 210110 MD Yes

Addresses

Primary practice location

2003 Davidsonville Rd
Crofton, MD 21114-1317

Mailing address

7694 Dorchester Blvd Apt 411
Hanover, MD 21076-2075

Other providers in Crofton, MD

All providers in Crofton, MD · Family Nurse Practitioner in Maryland

Sources for this page

Verify at the official NPI Registry.