| Doctor Name: | MS. MARNIE BERNARD HARGROVE |
| NPI Number: | 1003095571 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA030407 |
| Business Practice Address: | 15225 Shady Grove Rd Ste 102 Rockville, MD - 208503281 |
| Business Phone Number: | 3013300661 |
| Business Fax Number: | 3019776940 |
| Mailing Address: | 15225 Shady Grove Rd, Suite 102 ROCKVILLE |
| State: | MD |
| Postal Code: | 208503254 |
| Phone Number: | 3013300661 |
| Fax Number: | 3019776940 |
| NPI Enumeration Date: | 10/31/2007 |
| NPI Last Update Date: | 02/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA030407 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |