Provider Demographics
NPI:1255433249
Name:HOGARTH, MARIE HALDANE (NP, CNS, MS)
Entity type:Individual
Prefix:MISS
First Name:MARIE
Middle Name:HALDANE
Last Name:HOGARTH
Suffix:
Gender:F
Credentials:NP, CNS, MS
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Mailing Address - Street 1:3568 NEALE CT
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-1714
Mailing Address - Country:US
Mailing Address - Phone:301-893-1311
Mailing Address - Fax:
Practice Address - Street 1:50 IRVING ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20422-0001
Practice Address - Country:US
Practice Address - Phone:301-893-1311
Practice Address - Fax:202-518-4229
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCRN61362163WP0809X, 372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Not Answered372500000XNursing Service Related ProvidersChore Provider