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NPI Code Detail

MEDICARE: MARIA HOUSE ESA

MEDICARE: MARIA HOUSE ESA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerR221266MD

General Provider Information

NPI Number : 1215866793
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA HOUSE ESA
Provider Business Mailing Address
First Line : 2004 AVENEL RD
Second Line :
City : ADELPHI
State : MD
Zip : 20783-1308
Country : US
Telephone Number : 202-725-8051
Fax Number :
Provider Business Practice Location Address
First Line : 111 MICHIGAN AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-2916
Country : US
Telephone Number : 202-725-8051
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2026
Last Update Date : 05/19/2026

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Directions to “ MARIA HOUSE ESA ” Practice Location

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