Provider Demographics
NPI:1245326180
Name:NACE, MARY CATHERINE (MD)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:CATHERINE
Last Name:NACE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:13911 CREST HILL LANE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-4464
Mailing Address - Country:US
Mailing Address - Phone:301-319-6798
Mailing Address - Fax:301-295-5629
Practice Address - Street 1:WALTER REED NATIONAL MILITARY CENTER EDU TR
Practice Address - Street 2:8901 ROCKVILLE PIKE
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-5600
Practice Address - Country:US
Practice Address - Phone:301-319-6798
Practice Address - Fax:301-295-5629
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2011-09-09
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Provider Licenses
StateLicense IDTaxonomies
WAMD00024556207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology