Provider Demographics
NPI:1831748383
Name:ADAMS, MARIANNA GARRIGAN (BS, NRP, CCISM)
Entity type:Individual
Prefix:
First Name:MARIANNA
Middle Name:GARRIGAN
Last Name:ADAMS
Suffix:
Gender:F
Credentials:BS, NRP, CCISM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1641 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WHITEFORD
Mailing Address - State:MD
Mailing Address - Zip Code:21160-2004
Mailing Address - Country:US
Mailing Address - Phone:410-487-3612
Mailing Address - Fax:
Practice Address - Street 1:2220 ADY RD
Practice Address - Street 2:
Practice Address - City:FOREST HILL
Practice Address - State:MD
Practice Address - Zip Code:21050-1707
Practice Address - Country:US
Practice Address - Phone:410-638-4700
Practice Address - Fax:410-638-4701
Is Sole Proprietor?:No
Enumeration Date:2019-09-07
Last Update Date:2019-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0112727207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0112727OtherMIEMSS