Individual
MAXIM GRECEANNII
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
7130 MINSTREL WAY STE 120, COLUMBIA, MD 21045-5329
(314) 922-4937
Mailing address
9416 FALLING WATERS CT, LAUREL, MD 20723-5973
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2014039712
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
R224283
MD
363LG0600X
Gerontology Nurse Practitioner
2014039712
MO
Other
Enumeration date
11/11/2014
Last updated
06/26/2023
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