MARIANNE KULESA GARRETT


Address: 5803 Army Pentagon Mf877b, Dilorenzo Tricare Health Clinic, Washington, DC 20310-0001
Phone: 7039148000

MARIANNE KULESA GARRETT (NPI# 1992713887) 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) 1992713887
Entity Type Individual
Full Name MARIANNE KULESA GARRETT
Credential PAC
Practice Address 5803 Army Pentagon Mf877b
Dilorenzo Tricare Health Clinic
Washington
DC 20310-0001
Mailing Address 5803 Army Pentagon Mf877b
Dilorenzo Tricare Health Clinic
Washington
DC 20310
Practice Telephone 7039148000
Practice Fax Number 7036421876
Mailing Telephone 7039148000
Mailing Fax Number 7036421876
Enumeration Date 2006-08-04
Last Update Date 2008-05-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
0110001599 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5803 ARMY PENTAGON MF877B
DILORENZO TRICARE HEALTH CLINIC
City WASHINGTON
State DC
Zip Code 20310-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124668488 Deborah L Brimmer Dental Hygienist 5801 Defense Pentagon, Washington, DC 20310 2020-01-14
1174922645 Maria Zumer Physician Assistant 5801 Army Pentagon, Washington, DC 20310 2014-08-20
1104269398 Anthony Jason Belotto Psychiatry & Neurology 50 Irving Street, Washington, DC 20310 2013-04-08
1639231632 Wramc Military/U.S. Coast Guard Pharmacy 1501 Defense Pentagon, Washington, DC 20310 2006-12-15
1861554867 Wramc Military/U.S. Coast Guard Pharmacy 1501 Defense Pentagon, Washington, DC 20310 2006-12-15
1952463952 Wramc Military/U.S. Coast Guard Pharmacy 1501 Defense Pentagon, Washington, DC 20310 2006-12-15
1538712369 Genesis Webb Nurse Practitioner 50 Irving St Northwest, Washington, DC 20310-0001 2019-07-21
1912359548 Jessica Lee Nash Military Health Care Provider 5811 Army Pentagon # 8, Washington, DC 20310-0001 2016-07-07
1790030898 Robin C Neal Dentist Pentagon Tri Service Dental, 5802 Army Pentagon, Washington, DC 20310-0001 2012-07-16
1720312093 Jamie Belcastro Pharmacist 5801 Defence Pentagon, Washington, DC 20310-0001 2009-09-19
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265065619 Lukas James Williams Physician Assistant 110 Irving St Nw Ste 3b-55, Washington, DC 20010-3017 2020-02-13
1841784691 Amanda-gay A Edwards Physician Assistant 3 Washington Cir Nw Ste 305, Washington, DC 20037-2311 2018-06-15
1588177752 Shelly Powers Physician Assistant 6th and Bryant St Nw Annex 1 #116, Washington, DC 20059-0001 2017-11-10
1154832046 Sarah Elizabeth Walters-slezak Physician Assistant 470 Johnson Rd Ste 160, Washington, PA 15301-8968 2017-10-18
1174985220 Robert Matthew Cronin Physician Assistant 3800 Reservoir Rd. Nw, 4phc, Washington, DC 20007 2016-03-27
1639540529 Jennifer Quyen Tran Physician Assistant 332 18th Pl Ne Apt 4, Washington, DC 20002-6650 2015-10-17
1487023511 Christina Russo Physician Assistant 2021 K St Nw Ste 512, Washington, DC 20006-1003 2015-09-18
1194148031 Luminita Ellis Physician Assistant 3700 N Capitol St Nw # 252, Washington, DC 20011-8400 2014-01-29
1518235167 Anoa Gibson-hunter Physician Assistant 4221 Argyle Ter Nw, Washington, DC 20011-4241 2011-12-11
1295014330 Annise Claude Physician Assistant 2021 K St Nw Ste 210, Washington, DC 20006-1003 2011-08-08
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Competitor

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City WASHINGTON
Zip Code 20310

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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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