Provider Demographics
NPI:1568189371
Name:MCRAE, MARIA SYLVIA (GNA CNA)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:SYLVIA
Last Name:MCRAE
Suffix:
Gender:F
Credentials:GNA CNA
Other - Prefix:
Other - First Name:SYLVIA
Other - Middle Name:MARIA
Other - Last Name:GILBERT-MCRAE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CNA/GNA MEDTECH, ETC
Mailing Address - Street 1:3327 NORTHMONT RD
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-2953
Mailing Address - Country:US
Mailing Address - Phone:410-701-7300
Mailing Address - Fax:
Practice Address - Street 1:3327 NORTHMONT RD
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-2953
Practice Address - Country:US
Practice Address - Phone:410-701-7300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-24
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA00141224374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1972248151Medicaid
MD811116777OtherHOME HEALTH
MD1568189371Medicaid