MEDICARE: MJM ANESTHESIA ,LLC

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	367500000X	Certified Registered Nurse Anesthetist

General Provider Information

NPI Number	:	1861372864
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MJM ANESTHESIA ,LLC

Provider Business Mailing Address
First Line	:	PO BOX 235
Second Line	:
City	:	CABIN JOHN
State	:	MD
Zip	:	20818-0235
Country	:	US
Telephone Number	:	202-964-1160
Fax Number	:

Provider Business Practice Location Address
First Line	:	10810 DARNESTOWN RD STE 101
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20878-2604
Country	:	US
Telephone Number	:	202-964-1160
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. HEATHER GAIL DAILEY
Credential	:	CRNA, DNAP
Telephone Number	:	202-964-1160

Provider Enumeration Date	:	09/03/2025
Last Update Date	:	09/03/2025

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