Organization
MARY E. ROUSE MS, APRN, BC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY E. ROUSE APRN/PMH, BC (CLINICAL NURSE SPECIALIST)
(301) 938-1634
Entity
Organization
Contact information
Practice address
7625 MAPLE LAWN BLVD, SUITE 145, FULTON, MD 20759-2565
(301) 938-1634
Mailing address
7625 MAPLE LAWN BLVD, FULTON, MD 20759-2565
(301) 938-1634
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
R043705
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831146935
INDIVIDUAL NPI
MD
Enumeration date
05/03/2010
Last updated
02/09/2016
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