AILEEN DE GUIA PACHECO


Address: 2212 Montauk Dr, Crofton, MD 21114-3238
Phone: 3012542941

AILEEN DE GUIA PACHECO (NPI# 1508484791) 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) 1508484791
Entity Type Individual
Full Name AILEEN DE GUIA PACHECO
Practice Address 2212 Montauk Dr
Crofton
MD 21114-3238
Practice Telephone 3012542941
Mailing Telephone 3012542941
Enumeration Date 2020-07-14
Last Update Date 2020-07-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R187708 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2212 MONTAUK DR
City CROFTON
State MD
Zip Code 21114-3238

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1861866832 Kathryn Bucher Occupational Therapist 2435 Bolton Lane, Crofton, MD 21114 2015-11-13
1730512062 James Martin Schwartz Dentist 1286 Route 3 North, Crofton, MD 21114 2013-08-09
1184923088 Jean Louise Dela Torre Speech-Language Pathologist 1672 Carlyle Dr. Apt. E, Crofton, MD 21114 2011-03-18
1295033488 Nancy Fox Royster Registered Nurse 1004 Broderick Court, Crofton, MD 21114 2011-03-11
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790251106 Mmachukwu Blessing Emuka Nurse Practitioner 1298 Cronson Blvd Ste 203, Crofton, MD 21114-2035 2018-10-23
1619470010 Taylor Elizabeth Cline Allen Nurse Practitioner 375 William Lile Rd, Crofton, KY 42217-8128 2018-03-12
1649274143 Karla Sellers Nurse Practitioner 2191 Defense Hwy, Ste 201, Crofton, MD 21114-2469 2005-06-13
1184267791 Cathrine R Yeager Nurse Practitioner 2003 Davidsonville Rd, Crofton, MD 21114-1317 2019-10-26
1316417579 Aretha Lee Nurse Practitioner 2003 Davidsonville Rd, Crofton, MD 21114 2018-11-30
1376020438 Shannon Han Nurse Practitioner 2003 Davidsonville Rd, Crofton, MD 21114 2018-07-23
1699251397 Jena Marie Nelson Nurse Practitioner 203 W Main St, Crofton, NE 68730-3307 2018-07-16
1033507488 Rossana Wright Nurse Practitioner 2209 Defense Hwy, Crofton, MD 21114-2403 2015-01-07
1659701522 Evelyn Omoregbee Nurse Practitioner 2003 Davidsonville Rd, Crofton, MD 21114-1317 2013-11-13
1679909501 Jessica L O'brien Nurse Practitioner 2209 Defense Hwy, Crofton, MD 21114-2403 2013-09-24
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Competitor

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City CROFTON
Zip Code 21114

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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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