Doctor Name: | TANIA MARIE MAREK |
NPI Number: | 1023141199 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | R190676 |
Business Practice Address: | 5410 Edson Ln Rockville, MD - 208523107 |
Business Phone Number: | 3019841870 |
Business Fax Number: | |
Mailing Address: | 6302 Carnegie Dr, BETHESDA |
State: | MD |
Postal Code: | 208171702 |
Phone Number: | 6195073450 |
Fax Number: | |
NPI Enumeration Date: | 03/14/2007 |
NPI Last Update Date: | 06/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R190676 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |