Healthcare Provider Details

I. General information

NPI: 1255433249
Provider Name (Legal Business Name): MARIE HALDANE HOGARTH NP, CNS, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 IRVING ST NW
WASHINGTON DC
20422-0001
US

IV. Provider business mailing address

3568 NEALE CT
WALDORF MD
20602-1714
US

V. Phone/Fax

Practice location:
  • Phone: 301-893-1311
  • Fax: 202-518-4229
Mailing address:
  • Phone: 301-893-1311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN61362
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License NumberRN61362
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: