Healthcare Provider Details

I. General information

NPI: 1679579148
Provider Name (Legal Business Name): MARIA DESIREE FERRARIS ARANETA CRNP
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/21/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15001 SHADY GROVE RD STE 110
ROCKVILLE MD
20850-6354
US

IV. Provider business mailing address

15001 SHADY GROVE RD STE 110
ROCKVILLE MD
20850-6354
US

V. Phone/Fax

Practice location:
  • Phone: 301-251-9555
  • Fax: 301-309-0765
Mailing address:
  • Phone: 301-251-9555
  • Fax: 301-309-0765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP099858
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: