Healthcare Provider Details

I. General information

NPI: 1508950015
Provider Name (Legal Business Name): MARIAN CURRENS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 05/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 LINDEN AVE
BALTIMORE MD
21201-4606
US

IV. Provider business mailing address

827 LINDEN AVE
BALTIMORE MD
21201-4606
US

V. Phone/Fax

Practice location:
  • Phone: 410-225-8240
  • Fax: 410-225-8804
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License NumberR056951
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR056951
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: