Doctor Name: | MARY JANE WALSH |
NPI Number: | 1649628082 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | R137211 |
Business Practice Address: | 23995 Point Lookout Rd Leonardtown High School Leonardtown, MD - 206504104 |
Business Phone Number: | 3014750200 |
Business Fax Number: | 3014750204 |
Mailing Address: | 23995 Point Lookout Rd, Leonardtown High School LEONARDTOWN |
State: | MD |
Postal Code: | 206504104 |
Phone Number: | 3014750200 |
Fax Number: | 3014750204 |
NPI Enumeration Date: | 05/26/2016 |
NPI Last Update Date: | 05/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | R137211 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |