Provider Demographics
NPI:1598953101
Name:WARD, NANCY (CNM)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:WARD
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4809 GREENBELT RD
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-2001
Mailing Address - Country:US
Mailing Address - Phone:301-441-9150
Mailing Address - Fax:301-441-3147
Practice Address - Street 1:4809 GREENBELT RD
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-2001
Practice Address - Country:US
Practice Address - Phone:301-441-9150
Practice Address - Fax:301-441-3147
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR039571367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife