MEDICARE: ROSEMARIE NAGEL CRNP

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	163W00000X	Registered Nurse	R095284	MD
2	363LF0000X	Family Nurse Practitioner	R095284	MD

General Provider Information

NPI Number	:	1639302771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSEMARIE NAGEL CRNP

Provider Business Mailing Address
First Line	:	7955 TUCKERMAN LN
Second Line	:
City	:	ROCKVILLE
State	:	MD
Zip	:	20854-3243
Country	:	US
Telephone Number	:	301-910-0695
Fax Number	:

Provider Business Practice Location Address
First Line	:	3300A CENTENNIAL LN
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-3600
Country	:	US
Telephone Number	:	301-910-0695
Fax Number	:

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

Provider Enumeration Date	:	08/24/2009
Last Update Date	:	02/27/2025

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