Individual
MARY ROCKEFELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1621 LYMAN PL NE, WASHINGTON, DC 20002-3007
(202) 636-1130
(202) 636-1132
Mailing address
902 RITTENHOUSE ST NW, WASHINGTON, DC 20011-1945
(404) 287-7589
(202) 854-7825
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN1010260
DC
374U00000X
Home Health Aide
HHA12667
DC
Other
Enumeration date
07/10/2014
Last updated
05/03/2019
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