MARINETTE N GARRISON (NPI# 1548610215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548610215 |
| Entity Type | Individual |
| Full Name | MARINETTE N GARRISON |
| Credential | PMHNP |
| Practice Address |
4531 32nd St Mount Rainier MD 20712-1613 |
| Practice Telephone | 2402533912 |
| Mailing Telephone | 2402533912 |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2019-06-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN 1031756 | DC | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R207867 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4531 32ND ST |
| City | MOUNT RAINIER |
| State | MD |
| Zip Code | 20712-1613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282406 | Adeck Mudoh | Home Health Aide | 2701 Allison St Apt 1, Mount Rainier, MD 20712 | 2018-04-18 |
| 1265958276 | Clifford Wakha Kibang | Home Health Aide | 3271 Queenstown Drive, Apt #201, Mount Rainier, MD 20712 | 2017-08-21 |
| 1437570660 | Nursing Unlimited Services, Inc | Home Health | 3217 Rhode Island Ave #24, Mount Rainier, MD 20712 | 2013-12-13 |
| 1336579804 | Tambe Mukum | Home Health Aide | 4317 28th Plc, Apt 4, Mt Rainier, MD 20712 | 2013-11-20 |
| 1891134953 | Kwami Komla | Home Health Aide | 3163 Queens Chapel Rd #102, Mount Rainier, MD 20712 | 2013-06-21 |
| 1922348283 | Blaise Ogechi Osuji | Home Health Aide | 3269 Queenstown Dr, Apt 301, Mount Rainier, MD 20712 | 2013-02-25 |
| 1922350701 | Ricky Obike Enwere | Licensed Practical Nurse | 4018 36th Street, Mount Rainer, MD 20712 | 2012-10-04 |
| 1699030304 | Aloycia Jonathan Sway | Home Health Aide | 3305 Chillum Road, Apt. # 301, Mt Rainier, MD 20712 | 2012-07-09 |
| 1770846156 | Sheila Akum | Home Health Aide | 3302 Chauncey Place, Mt Rainier, MD 20712 | 2012-06-20 |
| 1154411197 | Suresh C Gupta | Internal Medicine | 3503 Perry St, Mount Rainer, MD 20712 | 2006-10-13 |
| Find all providers in zip 20712 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
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| 1932707171 | David Mwangi | Nurse Practitioner | 27 Blue Spire Cir, Middle River, MD 21220-1743 | 2020-10-10 |
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1639776446 | Serenity Heart Healthcare, LLC | Nurse Practitioner | 6755 Business Pkwy Ste 304, Elkridge, MD 21075-6740 | 2020-10-05 |
| 1689281529 | Premier Psychiatry, LLC | Nurse Practitioner | 10601 Virginia Ave, Cockeysville, MD 21030-2315 | 2020-09-24 |
| 1407462559 | Mem Scepter Home & Behavioral | Nurse Practitioner | 14104 Dawn Whistle Way, Bowie, MD 20721-1304 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT RAINIER |
| Zip Code | 20712 |
Please comment or provide details below to improve the information on MARINETTE N GARRISON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.