Provider Demographics
NPI:1386024594
Name:MAVIOGLU, MARIA (RN)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:MAVIOGLU
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 BURR HILL DR
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-1600
Mailing Address - Country:US
Mailing Address - Phone:410-973-1101
Mailing Address - Fax:
Practice Address - Street 1:26 BURR HILL DR
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-1600
Practice Address - Country:US
Practice Address - Phone:410-973-1101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-02
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR142203163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical