ST. MARY'S MEDICAL CENTER LLC NPI 1467159004

NPI Information

NPI: 1467159004
Provider Name: ST. MARY'S MEDICAL CENTER, LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
4701 TRIPPER LN
UPPER MARLBORO, MD
ZIP 20772
Phone: (240) 547-8986
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ST. MARY'S MEDICAL CENTER, LLC is a psychiatric/mental health nurse practitioner in Upper Marlboro, MD. ST. MARY'S MEDICAL CENTER, LLC NPI is 1467159004. The provider is registered as an organization entity type.

The provider's business location address is:

4701 TRIPPER LN
UPPER MARLBORO, MD
ZIP 20772-038
Phone: (240) 547-8986

The provider's authorized official is Oluwatoyin Mary Adekeye .
The authorized official title is Nurse Practitioner/ceo and has the following contact phone number (240) 547-8986.

The enumeration date for this NPI number is 2/14/2023 and was last updated on 3/1/2023.

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	Primary
1	261Q00000X	Clinic/Center		No
2	363LF0000X	Nurse Practitioner	Family	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	Yes

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: 5/5/2024

NPI Synchronization or Removal

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