Healthcare Provider Details

I. General information

NPI: 1821951377
Provider Name (Legal Business Name): MARIE FLORENCE NESTOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6505 MORTON PL
TEMPLE HILLS MD
20748-4942
US

IV. Provider business mailing address

6505 MORTON PL
TEMPLE HILLS MD
20748-4942
US

V. Phone/Fax

Practice location:
  • Phone: 240-615-0685
  • Fax:
Mailing address:
  • Phone: 240-615-0685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA200005737
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: