Provider Demographics
NPI:1427385285
Name:GREGORY, MARILYN EDWARDS (BSN, RNFA, CNOR)
Entity Type:Individual
Prefix:MS
First Name:MARILYN
Middle Name:EDWARDS
Last Name:GREGORY
Suffix:
Gender:F
Credentials:BSN, RNFA, CNOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8886 DOE CT
Mailing Address - Street 2:
Mailing Address - City:LA PLATA
Mailing Address - State:MD
Mailing Address - Zip Code:20646-4483
Mailing Address - Country:US
Mailing Address - Phone:301-466-8744
Mailing Address - Fax:
Practice Address - Street 1:8886 DOE CT
Practice Address - Street 2:
Practice Address - City:LA PLATA
Practice Address - State:MD
Practice Address - Zip Code:20646-4483
Practice Address - Country:US
Practice Address - Phone:301-466-8744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-15
Last Update Date:2009-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR103984282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital