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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821105859 | Mary Jane Walter | Podiatrist | 11 Florida Park Dr, Palm Coast, FL 32137 | 2006-08-24 |
1942650320 | Mary Walter | Nurse Practitioner | 712 39th St W, Bradenton, FL 34205-2454 | 2016-06-16 |
1740688209 | Mary Walter | Physician Assistant | 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 | 2014-12-16 |
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 |
1225106172 | Mary Adele Walter | Registered Nurse | 110 E Routt, Pueblo, CO 81004 | 2006-11-30 |
Street Address |
976 SOLOMANS ISLAND ROAD |
City | PRINCE FREDERICK |
State | MD |
Zip Code | 20678 |
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 |
Find all providers in zip 20678 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
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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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 | PRINCE FREDERICK |
Zip Code | 20678 |
Please comment or provide details below to improve the information on MS. MARY GORDON WALTER.
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.