MEDICARE: MARY B STEVEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1154685717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY B STEVEN

Provider Business Mailing Address
First Line	:	1836 METZEROTT RD
Second Line	:	NO. 627
City	:	ADELPHI
State	:	MD
Zip	:	20783-3475
Country	:	US
Telephone Number	:	240-476-9397
Fax Number	:

Provider Business Practice Location Address
First Line	:	1836 METZEROTT RD
Second Line	:	NO. 627
City	:	ADELPHI
State	:	MD
Zip	:	20783-3475
Country	:	US
Telephone Number	:	240-608-9445
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2012
Last Update Date	:	01/30/2017

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Directions to “ MARY B STEVEN ” Practice Location

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