Provider Demographics
NPI:1386863306
Name:DONNELLY-STROZZO, MARY K (APRN, MPH,MS)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:K
Last Name:DONNELLY-STROZZO
Suffix:
Gender:F
Credentials:APRN, MPH,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:279 COLLEGE MANOR DR
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-1819
Mailing Address - Country:US
Mailing Address - Phone:410-561-6589
Mailing Address - Fax:
Practice Address - Street 1:525 NORTH WOLFE STREET
Practice Address - Street 2:SUITE 472
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205-2110
Practice Address - Country:US
Practice Address - Phone:443-254-3532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRO81700163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse