MEDICARE: REMMAWII KRISTJANSON

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
1	104100000X	Social Worker	CSW002492	GA

General Provider Information

NPI Number	:	1437045788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REMMAWII KRISTJANSON

Provider Business Mailing Address
First Line	:	17220 FOUNDERS MILL DR
Second Line	:
City	:	DERWOOD
State	:	MD
Zip	:	20855-2535
Country	:	US
Telephone Number	:	404-353-5005
Fax Number	:

Provider Business Practice Location Address
First Line	:	17220 FOUNDERS MILL DR
Second Line	:
City	:	DERWOOD
State	:	MD
Zip	:	20855-2535
Country	:	US
Telephone Number	:	404-353-5005
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2025
Last Update Date	:	06/14/2025

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Directions to “ REMMAWII KRISTJANSON ” Practice Location

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