Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ANTONIO PEDULLA JR., CRNP
Active Sole ProprietorMR. ANTONIO PEDULLA JR., CRNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in NORTH EAST, Maryland. NPI 1518622455 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · NORTH EAST, MD
Registration Details
- NPI Number
- 1518622455
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 4, 2021 (4.5916929256226 yrs)
- Last Updated
- Feb 13, 2025
- Licenses
-
SP024827 (PA)RN674446 (PA)SP027026 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14 ROGERS RD STE 211NORTH EAST, MD, 219013612Browse MD providers · Browse ZIP 21901
- Phone
- 4102807683
- Fax
- 6107028056
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Registered Nurse
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in NORTH EAST, MD
| Name | Credential | NPI |
|---|---|---|
| CARLA DIMIRIS | APRN PMHNP-BC | 1043768906 |
| JEREMY PAUL BUNTY | — | 1629891262 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.