| Mary E. Rouse Ms, Aprn, Bc | |
|
7625 Maple Lawn Blvd Suite 145 Fulton MD 20759-2565 | |
| (301) 938-1634 | |
| Not Available |
| Full Name | Mary E. Rouse Ms, Aprn, Bc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7625 Maple Lawn Blvd, Fulton, Maryland |
| Authorized Official Name and Position | Mary E. Rouse (CLINICAL NURSE SPECIALIST) |
| Authorized Official Contact | 3019381634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary E. Rouse Ms, Aprn, Bc 7625 Maple Lawn Blvd Fulton MD 20759-2565 Ph: (301) 938-1634 | Mary E. Rouse Ms, Aprn, Bc 7625 Maple Lawn Blvd Suite 145 Fulton MD 20759-2565 Ph: (301) 938-1634 |
| NPI Number | 1669799474 |
|---|---|
| Provider Enumeration Date | 05/03/2010 |
| Last Update Date | 02/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669799474 | NPI | - | NPPES |
| 1831146935 | Other | MD | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | R043705 (Maryland) | Primary |
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