Doctor Name: | MARK ALLEN NAGLE |
NPI Number: | 1184922361 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RN |
License Number: | R119069 |
Business Practice Address: | 401 15th St Unit 6 Ocean City, MD - 218425526 |
Business Phone Number: | 4434138942 |
Business Fax Number: | |
Mailing Address: | 401 15th St Unit 6, OCEAN CITY |
State: | MD |
Postal Code: | 218425526 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/11/2011 |
NPI Last Update Date: | 03/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 376G00000X |
License Number: | R119069 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Nursing Home Administrator |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual, often licensed by the state, who is responsible for the management of a nursing home. |