Provider Demographics
NPI:1790785368
Name:MAYHEW, MAREN STEWART (NP)
Entity Type:Individual
Prefix:MRS
First Name:MAREN
Middle Name:STEWART
Last Name:MAYHEW
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:SUBURBAN HOSPITAL COMMUNITY HOMECARE MANAGEMENT PROGRAM
Mailing Address - Street 2:8600 OLD GEORGETOWN ROAD, LAMBERT BLDG. FIRST FLOOR
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814
Mailing Address - Country:US
Mailing Address - Phone:301-896-6500
Mailing Address - Fax:301-896-6505
Practice Address - Street 1:SUBURBAN HOSPITAL COMMUNITY HOMECARE MANAGEMENT PROGRAM
Practice Address - Street 2:8600 OLD GEORGETOWN ROAD, LAMBER BUILDING FIRST FLOOR
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814
Practice Address - Country:US
Practice Address - Phone:301-896-6500
Practice Address - Fax:301-896-6505
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR057293363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD5009-0017OtherCAREFIRST BC/BS
MD5009-0017OtherCAREFIRST BC/BS
Q24080Medicare UPIN