Provider Demographics
NPI:1619005964
Name:PERROTTA, MARIA ANNA (CRNP)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:ANNA
Last Name:PERROTTA
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:UNIVERSITY OF MARYLAND UNIVERSITY HEALTH CTR
Mailing Address - Street 2:CAMPUS DRIVE, BUILDING #140
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20742-0001
Mailing Address - Country:US
Mailing Address - Phone:301-314-8149
Mailing Address - Fax:301-405-9755
Practice Address - Street 1:UNIVERSITY OF MARYLAND UNIVERSITY HEALTH CTR
Practice Address - Street 2:CAMPUS DRIVE, BUILDING #140
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20742-0001
Practice Address - Country:US
Practice Address - Phone:301-314-8149
Practice Address - Fax:301-405-9755
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR057103363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health