Provider Demographics
NPI:1417286014
Name:WAITERS, MARIE BERNADETTE (RN)
Entity Type:Individual
Prefix:MS
First Name:MARIE
Middle Name:BERNADETTE
Last Name:WAITERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:PO BOX 23
Mailing Address - Street 2:
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613-0023
Mailing Address - Country:US
Mailing Address - Phone:301-535-0741
Mailing Address - Fax:301-579-2660
Practice Address - Street 1:1814 BENNING RD NE
Practice Address - Street 2:#3
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-7220
Practice Address - Country:US
Practice Address - Phone:301-535-0741
Practice Address - Fax:301-579-2660
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-10
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCRN44491163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse