Individual
EVELYN MAHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10810 CONNECTICUT AVE, KENSINGTON, MD 20895-2138
(301) 929-7210
Mailing address
2101 E JEFFERSON ST, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4704087751
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
R192332
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104733240
—
MI
01
—
EM087751
BLUE CROSS OF MI
MI
Enumeration date
04/13/2006
Last updated
12/06/2012
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