Healthcare Provider Details

I. General information

NPI: 1558461301
Provider Name (Legal Business Name): MAUREEN ANN PANARES DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 E ST NW L209
WASHINGTON DC
20520-5712
US

IV. Provider business mailing address

2401 E ST NW L209
WASHINGTON DC
20520-5712
US

V. Phone/Fax

Practice location:
  • Phone: 202-663-3257
  • Fax:
Mailing address:
  • Phone: 202-663-3257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP500023723
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: