Provider Demographics
NPI:1659587210
Name:CRIMONE, MARYFRAN WINKLER (APRN)
Entity Type:Individual
Prefix:MS
First Name:MARYFRAN
Middle Name:WINKLER
Last Name:CRIMONE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MICKIE
Other - Middle Name:WINKLER
Other - Last Name:CRIMONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:10601 WILLOWBROOK DR
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-4457
Mailing Address - Country:US
Mailing Address - Phone:301-299-7475
Mailing Address - Fax:301-299-9511
Practice Address - Street 1:6201 EXECUTIVE BLVD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3906
Practice Address - Country:US
Practice Address - Phone:301-299-7475
Practice Address - Fax:301-299-9511
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRO49675163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult