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NPI Code Detail

MEDICARE: MRS. SHIRLEY MARJORY MARIN BSN, RN

MEDICARE:  MRS. SHIRLEY MARJORY MARIN  BSN, RN
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
1163W00000XRegistered NurseR201873MD

General Provider Information

NPI Number : 1750637054
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHIRLEY MARJORY MARIN BSN, RN
Provider Business Mailing Address
First Line : 8210 COLONIAL LN
Second Line :
City : SILVER SPRING
State : MD
Zip : 20910-5721
Country : US
Telephone Number : 301-585-1250
Fax Number :
Provider Business Practice Location Address
First Line : 8210 COLONIAL LN
Second Line :
City : SILVER SPRING
State : MD
Zip : 20910-5721
Country : US
Telephone Number : 301-585-1250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2012
Last Update Date : 07/30/2012

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Directions to “ MRS. SHIRLEY MARJORY MARIN BSN, RN” Practice Location

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