Walter, Mary Gordon

Walter, Mary Gordon is an individual health care provider with primary practice located at 976 Solomans Island Road , Prince Frederick MD 20678. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Walter, Mary Gordon can be contacted via phone (410) 535-5400.

Contact Information

Primary practice address
976 Solomans Island Road Prince Frederick MD 20678
Phone: (410) 535-5400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X RN2274139 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN2274139 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R217581 Maryland

Profile Details

NPI number 1023449642
LBN Legal business name Walter, Mary Gordon
Credentials RN/NP, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2013
Last updated Sep 29th, 2015 - about 9 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.

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