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Mr. Ilya Rozenberg, MS/CRNP
Psychiatric/Mental Health Nurse Practitioner in Glen Burnie, Maryland
NPI 1467460865

Ilya Rozenberg is a Psychiatric/Mental Health Nurse Practitioner based in Baltimore, MD and is specialized in Psychiatric/Mental Health. Ilya Rozenberg practices in Glen Burnie, MD and has the professional credentials of MS/CRNP. The NPI Number for Ilya Rozenberg is 1467460865 and holds a License No. R143360 (Maryland).

The current practice location address for Ilya Rozenberg is 7452 Baltimore Annapolis Blvd, Glen Burnie, MD and can be reached out via phone at 410-766-1544 and via fax at 410-766-1551. You can also correspond with Ilya Rozenberg through the mailing address at 3 MARCIE WOODS CT, BALTIMORE, MD - 21208-1965 (mailing address contact number: 410-766-1544).

Location: 7452 Baltimore Annapolis Blvd, Glen Burnie, MD, 21208-1965
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Provider Profile Details
NPI Number
1467460865
Provider Name
Ilya Rozenberg
Credential
MS/CRNP
Provider Entity Type
Individual
Gender
Male
Address
7452 Baltimore Annapolis Blvd, Glen Burnie, MD, 21208-1965
Phone Number
410-766-1544
Fax Number
410-766-1551
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
402464800 05 MD
463350400 05 MD
institution
Provider Business Practice Location Address Details
Address
7452 Baltimore Annapolis Blvd
City
State
Zip
21061-3547
Phone Number
410-766-1544
Fax Number
410-766-1551
person
Provider Business Mailing Address Details
Address
7452 Baltimore Annapolis Blvd
City
State
Zip
21061-3547
Phone Number
410-766-1544
Fax Number
410-766-1551
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R143360 (Maryland)
Definition
Definition to come...
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