Provider Demographics
NPI:1467343137
Name:DIX, FRANCES SERENA (CRNP)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:SERENA
Last Name:DIX
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:
Other - Last Name:DIX-POWELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRNP
Mailing Address - Street 1:8900 GREENS LN
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-4208
Mailing Address - Country:US
Mailing Address - Phone:410-207-3855
Mailing Address - Fax:
Practice Address - Street 1:1200 E FAYETTE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-4721
Practice Address - Country:US
Practice Address - Phone:410-396-4604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR163793363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty