Provider Demographics
NPI:1548362320
Name:BATTY, KRISTINE E (RNP)
Entity type:Individual
Prefix:
First Name:KRISTINE
Middle Name:E
Last Name:BATTY
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9910 FRANKLIN SQUARE DR # 2110
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4902
Mailing Address - Country:US
Mailing Address - Phone:401-861-2233
Mailing Address - Fax:
Practice Address - Street 1:5755 CEDAR LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044
Practice Address - Country:US
Practice Address - Phone:410-720-8695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RINPP37191363LF0000X
MDR240065363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9023952Medicaid
RI05-0503963OtherMULTIPLAN
RI05-0503963OtherCIGNA
RI05-0503963OtherUNITED HEALTH
RI23952-9OtherBLUE CROSS
RI409438OtherBLUE CHIP
RI409438OtherBLUE CHIP
RI05-0503963OtherUNITED HEALTH