Healthcare Provider Details

I. General information

NPI: 1114273497
Provider Name (Legal Business Name): MARGARET N. GREENWALD CRNP-PMH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2012
Last Update Date: 04/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6305 HOLLINS DR
BETHESDA MD
20817-2350
US

IV. Provider business mailing address

6305 HOLLINS DR
BETHESDA MD
20817-2350
US

V. Phone/Fax

Practice location:
  • Phone: 301-530-7439
  • Fax: 301-530-7439
Mailing address:
  • Phone: 301-530-7439
  • Fax: 301-530-7439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberR168298
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberR168298
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: