Healthcare Provider Details

I. General information

NPI: 1912316118
Provider Name (Legal Business Name): MARJORIANN RHULE AGNP, MSN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARJORIANN F HART

II. Dates (important events)

Enumeration Date: 08/13/2014
Last Update Date: 08/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9801 GEORGIA AVENUE SUITE 224
SILVER SPRING MD
20902
US

IV. Provider business mailing address

1713 SHILLING LANE
SILVER SPRING MD
20906
US

V. Phone/Fax

Practice location:
  • Phone: 301-593-9000
  • Fax: 301-593-1061
Mailing address:
  • Phone: 202-378-7412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberR220118
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberR220118
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: