Provider Demographics
NPI:1265027700
Name:MUSE, MARIAH (CRNP)
Entity Type:Individual
Prefix:
First Name:MARIAH
Middle Name:
Last Name:MUSE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2860 PELHAM CT
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:MD
Mailing Address - Zip Code:21074-1238
Mailing Address - Country:US
Mailing Address - Phone:410-868-7600
Mailing Address - Fax:
Practice Address - Street 1:10084 REISTERSTOWN RD STE 200A
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4096
Practice Address - Country:US
Practice Address - Phone:410-552-5050
Practice Address - Fax:410-356-7505
Is Sole Proprietor?:No
Enumeration Date:2021-03-06
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR206959363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily