Healthcare Provider Details

I. General information

NPI: 1992077846
Provider Name (Legal Business Name): MS. MARY PAMELA FERINDE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARY PAMELA OSTROSKI RN

II. Dates (important events)

Enumeration Date: 02/07/2012
Last Update Date: 02/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10140 CLEARSPRING RD
DAMASCUS MD
20872-2333
US

IV. Provider business mailing address

10140 CLEARSPRING RD
DAMASCUS MD
20872-2333
US

V. Phone/Fax

Practice location:
  • Phone: 301-367-5887
  • Fax:
Mailing address:
  • Phone: 301-367-5887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR077705
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: