MS. MARY GORDON WALTER


Address: 976 Solomans Island Road, Prince Frederick, MD 20678
Phone: 4105355400

MS. MARY GORDON WALTER (NPI# 1023449642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023449642
Entity Type Individual
Full Name MS. MARY GORDON WALTER
Credential RN/NP, PMHNP-BC
Practice Address 976 Solomans Island Road
Prince Frederick
MD 20678
Mailing Address 975 Solomons Island Rd N
Prince Frederick
MD 20678-3917
Practice Telephone 4105355400
Enumeration Date 2013-12-07
Last Update Date 2015-09-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WE0003X Registered Nurse
Specialization: Emergency
RN2274139 MA Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
R217581 MD Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
RN2274139 MA Physician Assistants & Advanced Practice Nursing Providers

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1770890345 Mary K. Walter Physician Assistant 1222 Pine St, Saint Helena, CA 94574-1830 2010-09-02
1265655112 Mary Elizabeth Walter Counselor 141 W Davies Ave N, Ste 105, Littleton, CO 80120-5211 2007-04-10
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Office Location

Street Address 976 SOLOMANS ISLAND ROAD
City PRINCE FREDERICK
State MD
Zip Code 20678

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861857500 Watershed Counseling Service Counselor 246 Merrimac Court, Prince Frederick, MD 20678 2015-12-23
1891126827 Jacqueline Leclercq Nurse Practitioner 110 Hospital Road Suite 303, Prince Frederick, MD 20678 2013-12-02
1174959001 Linsey Rowe Heane Physical Therapist 110 Main Street Suite 1, Prince Frederick, MD 20678 2013-09-24
1053607002 Tidewater Dental Pf Dentist 690 Prince Frederick Blvd, Prince Frederick, MD 20678 2011-06-28
1033411558 Sharon Patricia Parran Pharmacist 80 W.dares Beach Road, Prince Frederick, MD 20678 2010-12-04
1366684326 Prince Frederick Surgery Center LLC Clinic/Center 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 2009-04-06
1982844734 Orthocare Solutions Inc Durable Medical Equipment & Medical Supplies 220 Old Solomans Island Rd, Prince Frederick, MD 20678 2009-03-05
1225273519 Rebecca Lynn Jahed Audiologist 3180 Blackberry Lane, Prince Frederick, MD 20678 2008-12-16
1669639209 Ralph Walter Niemann Dentist 272 Merrimac Court, Prince Frederick, MD 20678 2008-05-21
1497944888 Dr. Saleh & Associates, LLC Psychiatry & Neurology 110 Hospital Rd., Suite 302, Prince Frederick, MD 20678 2007-10-22
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770992596 Bisrat Mesfin Nurse Practitioner 975 Solomons Island Rd N, Prince Frederick, MD 20678-3917 2014-08-06
1316285109 Olga Baturenko Nurse Practitioner 975 Solomons Island Rd North, Prince Frederick, MD 20678 2013-01-29

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1245839653 Itoro Abatai Nurse Practitioner 9620 Maxwell Rd, Middle River, MD 21220-3792 2020-10-19
1992304372 Catherine Koskei Nurse Practitioner 2295 Lowell Ridge Rd Apt B, Parkville, MD 21234-2370 2020-10-18
1194323857 Meliora Davies Nurse Practitioner 206 Settlers Way, Upper Marlboro, MD 20774-5770 2020-10-14
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
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Competitor

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City PRINCE FREDERICK
Zip Code 20678

Improve Information

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Dataset Information

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.

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