Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | R147315 | MD |
NPI | 1225374804 |
---|---|
Provider Name | Heather Jean Orndorff |
First Address | Frederick, MD 21701-4506 |
Second Address | Frederick, MD 21701-4506 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2012 |
Last Update Date | 25/11/2014 |