Gardiner, Mary Ann
Gardiner, Mary Ann is an individual health care provider with primary practice located at 1509 Ritchie Hwy , Arnold MD 21012-2742. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gardiner, Mary Ann can be contacted via phone (410) 757-7600.Contact Information
Primary practice address
1509 Ritchie Hwy
Arnold MD 21012-2742
Phone: (410) 757-7600
Fax: (410) 626-8043
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R085255 | Maryland |
Profile Details
| NPI number | 1164423455 |
|---|---|
| LBN Legal business name | Gardiner, Mary Ann |
| Credentials | C.R.N.P |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Aug 22nd, 2019 - about 5 years 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 | 1164423455 | NPPES |
| Maryland | Other | 9122236 | AETNA PPO |
| Maryland | Other | 687423-02 | AETNA PPO |
| Maryland | Other | 120106 | AETNA PPO |
| Maryland | Other | 7605-0053 | AETNA PPO |
| Maryland | MEDICAID | 400109500 | AETNA PPO |
| Maryland | Other | 500026827 | AETNA PPO |
| Maryland | Other | 1978522 | AETNA PPO |
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