Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Raycor Faderugao, CRNP

Individual provider Acute Care Nurse Practitioner · NPI 1417323445

Raycor Faderugao, CRNP is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2015, 11 years ago. Practices with Greater Baltimore Medical Center Inc, a 348-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
11
Licensed in
MD
In the registry since
2015
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

600 N Wolfe St Osler 0-600
Baltimore, MD 21287-0005
Phone: (410) 955-5353
Fax: (410) 955-7363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence R160569 (MD)

Record details

NPI number1417323445
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedAugust 13, 2015
Last updated in NPPESNovember 18, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Greater Baltimore Medical Center Inc — 348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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