EKATERINA VERSACE CRNP
NPI 1962077156
Nurse Practitioner - Family in Bel Air, MD

Active since May 21, 2021
4B NORTH AVE STE 302, BEL AIR, MD 21014(443) 819-3172 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ekaterina Versace Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EKATERINA VERSACE CRNP (NPI 1962077156) is an individual family provider in Bel Air, Maryland, licensed in Maryland (R209076) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1962077156
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEKATERINA VERSACECredential: CRNP
Location Address4B NORTH AVE STE 302Bel Air, MD 21014-2304
Mailing Address4b North Ave Ste 302Bel Air, MD 21014-2304 · (443) 819-3172
Sole ProprietorYes
Enumeration DateMay 21, 2021
NPPES CertifiedMay 21, 2021
NPI 1962077156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MD · R209076
4B NORTH AVE STE 302, Bel Air, MD 21014

Other Identifiers 1

OtherR209076MD · Board Of Nursing State Of Md

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
4B NORTH AVE STE 302
BEL AIR, MD 21014
Family Medicine (Addiction Medicine)
4B NORTH AVE STE 302
BEL AIR, MD 21014
Clinic/Center (Rehabilitation, Substance Use Disorder)
4B NORTH AVE STE 302
BEL AIR, MD 21014
Clinic/Center (Methadone)
4B NORTH AVE STE 302
BEL AIR, MD 21014
Clinic/Center (Rehabilitation)
4B NORTH AVE STE 302
BEL AIR, MD 21014

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ekaterina Versace's NPI number?

The NPI number for Ekaterina Versace is 1962077156. It was assigned to this individual provider in the NPPES registry on May 21, 2021.

Where is Ekaterina Versace located?

Ekaterina Versace practices at 4B North Ave Ste 302, Bel Air, MD 21014. The listed phone number is (443) 819-3172.

What is Ekaterina Versace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Ekaterina Versace was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.