Provider Demographics
NPI:1962835280
Name:PARAJON, CECILIA MARGARITA (RN NNP IBCLC)
Entity Type:Individual
Prefix:
First Name:CECILIA
Middle Name:MARGARITA
Last Name:PARAJON
Suffix:
Gender:F
Credentials:RN NNP IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8205 WAHLY DR
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-3166
Mailing Address - Country:US
Mailing Address - Phone:301-365-4845
Mailing Address - Fax:
Practice Address - Street 1:8205 WAHLY DR
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-3166
Practice Address - Country:US
Practice Address - Phone:301-365-4845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-11
Last Update Date:2013-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR095212163WC1600X, 163WM0102X, 363LN0005X
VA11226045163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn