Cleary, Myra M.
Cleary, Myra M. is an individual health care provider with primary practice located at 116 Defense Hwy Ste 403 , Annapolis MD 21401-7020. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Cleary, Myra M. can be contacted via phone (410) 844-8998.Contact Information
Primary practice address
116 Defense Hwy Ste 403
Annapolis MD 21401-7020
Phone: (410) 844-8998
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN1025798 | District of Columbia |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | APN000860 | Nevada |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | R205967 | Maryland |
Profile Details
NPI number | 1225005010 |
---|---|
LBN Legal business name | Cleary, Myra M. |
Credentials | DNP, CPNP, PMHS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 1st, 2006 |
Last updated | Jul 12th, 2024 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225005010 | NPPES |
Nevada | MEDICAID | 100507054 | |
Nevada | Other | CC2022 | |
Nevada | MEDICAID | 100507055 | |
Nevada | Other | 530334 |
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