Provider Demographics
NPI:1083311500
Name:MIRINDI, SYLVIE (CRNP-PMH)
Entity Type:Individual
Prefix:
First Name:SYLVIE
Middle Name:
Last Name:MIRINDI
Suffix:
Gender:F
Credentials:CRNP-PMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 RED TAIL CT
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-5025
Mailing Address - Country:US
Mailing Address - Phone:202-341-5961
Mailing Address - Fax:
Practice Address - Street 1:200 RED TAIL CT
Practice Address - Street 2:
Practice Address - City:SANDY SPRING
Practice Address - State:MD
Practice Address - Zip Code:20905-5025
Practice Address - Country:US
Practice Address - Phone:202-341-5961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR171947363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health