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NPI Code Detail

MEDICARE: ROSE MARY HEBEL

MEDICARE: ROSE MARY HEBEL
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 PractitionerTBDTX

General Provider Information

NPI Number : 1679430128
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSE MARY HEBEL
Provider Business Mailing Address
First Line : 909 RIDGEBROOK RD STE 300
Second Line :
City : SPARKS
State : MD
Zip : 21152-9477
Country : US
Telephone Number : 443-383-9300
Fax Number :
Provider Business Practice Location Address
First Line : 12830 HILLCREST RD STE 111
Second Line :
City : DALLAS
State : TX
Zip : 75230-1547
Country : US
Telephone Number : 443-383-9300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

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Directions to “ ROSE MARY HEBEL ” Practice Location

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