MRS. MARY F HAYNOS CRNP NPI 1154370377

NPI Information

NPI: 1154370377
Provider Name: MRS. MARY F HAYNOS, CRNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: ADVANCED MEDICAL CARE LLC

PECOS Registration: Yes

Address:
19701 EXECUTIVE PARK CIR
GERMANTOWN, MD
ZIP 20874
Phone: (301) 946-6623
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MRS. Mary F Haynos, CRNP is an adult health nurse practitioner in Germantown, MD with 21 years of experience. MRS. Mary F Haynos, CRNP NPI is 1154370377. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

19701 EXECUTIVE PARK CIR
GERMANTOWN, MD
ZIP 20874-639
Phone: (301) 946-6623
Fax: (301) 946-1107

The NPI 1154370377 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/6/2006 and was last updated on 2/5/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	R113971	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	408582500	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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