Healthcare Provider Details

I. General information

NPI: 1598974974
Provider Name (Legal Business Name): MARIA H ALLEYNE N.P
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3924 MINNESOTA AVE NE
WASHINGTON DC
20019-2661
US

IV. Provider business mailing address

14815 CROSS RIVER CT
BURTONSVILLE MD
20866-3105
US

V. Phone/Fax

Practice location:
  • Phone: 202-398-8683
  • Fax: 202-627-7806
Mailing address:
  • Phone: 202-398-8683
  • Fax: 202-627-7806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN53213
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: