Healthcare Provider Details

I. General information

NPI: 1144137563
Provider Name (Legal Business Name): MRS. MARIBEL HERNANDEZ DROST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARIBEL HERNANDEZ

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2138 PRIEST BRIDGE CT STE 1
CROFTON MD
21114-2463
US

IV. Provider business mailing address

6018 VIRLONA AVE
ELKRIDGE MD
21075-5345
US

V. Phone/Fax

Practice location:
  • Phone: 410-212-3197
  • Fax:
Mailing address:
  • Phone: 401-486-1452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLGP18197
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: