Provider Demographics
NPI:1851560437
Name:NANCY R. MARKUS M.D., P.C.
Entity Type:Organization
Organization Name:NANCY R. MARKUS M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CURRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-251-7797
Mailing Address - Street 1:9711MEDICAL CENTER DRIVE
Mailing Address - Street 2:SUITE 112
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850
Mailing Address - Country:US
Mailing Address - Phone:301-251-7797
Mailing Address - Fax:301-251-9145
Practice Address - Street 1:9711 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 112
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3323
Practice Address - Country:US
Practice Address - Phone:301-251-7797
Practice Address - Fax:301-251-9145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0046514174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDF89412Medicare UPIN
MDG01336Medicare PIN