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1952370272

NPI Code Detail

MEDICARE: DR. MARSHALEE GEORGE PHD, C.R.N.P., PMHNP

MEDICARE: DR. MARSHALEE GEORGE PHD, C.R.N.P., PMHNP

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	2084P0800X	Psychiatry Physician	R157709	MD
2	363L00000X	Nurse Practitioner	R157709	MD
3	207R00000X	Internal Medicine Physician	R157709	MD
4	364SP0809X	Adult Psychiatric/Mental Health Clinical Nurse Specialist	R157709	MD
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R157709	MD
6	364SX0200X	Oncology Clinical Nurse Specialist	R157709	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952370272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARSHALEE GEORGE PHD, C.R.N.P., PMHNP

Provider Business Mailing Address
First Line	:	4301 GARDEN CITY DR STE 304
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20785-6105
Country	:	US
Telephone Number	:	301-235-0060
Fax Number	:

Provider Business Practice Location Address
First Line	:	4301 GARDEN CITY DR STE 304
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20785-6105
Country	:	US
Telephone Number	:	301-235-0060
Fax Number	:

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

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	06/30/2022

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Directions to “ DR. MARSHALEE GEORGE PHD, C.R.N.P., PMHNP” Practice Location

Language	Start Address	Practice Location

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