NOVA LA MARR PREVAL (NPI# 1053879429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053879429 |
| Entity Type | Individual |
| Full Name | NOVA LA MARR PREVAL |
| Credential | CRNP |
| Practice Address |
10110 Molecular Dr Ste 206 Rockville MD 20850-7542 |
| Practice Telephone | 0132792779 |
| Practice Fax Number | 2404030190 |
| Mailing Telephone | 3012792779 |
| Mailing Fax Number | 2404030190 |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2020-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R213039 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15646 Old Columbia Pike, Burtonsville, MD 208661630 | 3014211412 |
| Street Address |
10110 MOLECULAR DR STE 206 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-7542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639145303 | H Robert Birschbach | Internal Medicine | 10110 Molecular Dr Ste 206, Rockville, MD 20850-7542 | 2006-02-23 |
| 1205466109 | Peninnah Maina | Nurse Practitioner | 10110 Molecular Dr Ste 206, Rockville, MD 20850-7542 | 2020-01-19 |
| 1770060550 | Kathryn Kyle Daileader | Nurse Practitioner | 10110 Molecular Dr Ste 206, Rockville, MD 20850-7542 | 2018-07-24 |
| 1306219688 | Caroline Cannon Wiseman | Nurse Practitioner | 10110 Molecular Dr Ste 206, Rockville, MD 20850-7542 | 2015-11-09 |
| 1629489521 | Julie Lynn Tebor | Nurse Practitioner | 10110 Molecular Dr Ste 206, Rockville, MD 20850-7542 | 2014-05-13 |
| 1639489032 | Inna Shamis | Nurse Practitioner | 10110 Molecular Dr Ste 206, Rockville, MD 20850-7542 | 2010-10-19 |
| 1265763189 | Nujhat Nadia Huq | Internal Medicine | 10110 Molecular Dr Ste 206, Rockville, MD 20850 | 2010-01-15 |
| 1588839286 | Gloria K Aggrey | Internal Medicine | 10110 Molecular Dr Ste 206, Rockville, MD 20850-7542 | 2008-04-24 |
| 1336169861 | Milagritos Jessica Harding-omar | Nurse Practitioner | 10110 Molecular Dr Ste 206, Rockville, Rockville, MD 20850-3320 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891250155 | Np Home Assess | Nurse Practitioner | 891i Rockville Pike Ste 126, Rockville, MD 20852-1229 | 2019-01-31 |
| 1952782880 | You Rim Hur | Nurse Practitioner | 1684 E Gude Dr Ste 202, Rockville, MD 20850-5338 | 2015-06-16 |
| 1194153304 | Bethany Storz | Nurse Practitioner | 10110 Molecular Drive Suite 206, Rockville, MD 20850 | 2013-10-25 |
| 1639339831 | Andrea S. Kohn | Nurse Practitioner | 9711 Medical Center Dr., Ste. 308, Rockville, MD 20850 | 2008-06-11 |
| 1225156078 | Colleen O. Lee | Nurse Practitioner | 6116 Executive Blvd Suite 609, Rockville, MD 20852 | 2007-03-27 |
| 1407902299 | Mary E Nichols | Nurse Practitioner | 15005 Shady Grove Rd Ste 450, Rockville, MD 20850-6377 | 2007-01-26 |
| 1386671113 | Margaret Gatlin Smith | Nurse Practitioner | 12730 Twinbrook Pkwy, Rockville, MD 20852-1748 | 2006-06-27 |
| 1689667941 | Mary Pamela Godwin | Nurse Practitioner | 15825 Shady Grove Rd, Suite 140, Rockville, MD 20850-4008 | 2005-08-23 |
| 1912420811 | Carol Ann Dodson | Nurse Practitioner | 15245 Shady Grove Rd Ste 130, Rockville, MD 20850-6240 | 2017-07-23 |
| 1972047389 | Ancy C Palakunnel | Nurse Practitioner | 15245 Shady Grove Rd, Suite 130, North Lobby, Rockville, MD 20850-3222 | 2016-12-05 |
| Find all providers in ROCKVILLE | ||||
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| 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.