Individual
MRS. MARIAM M CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN. RN. CS-P
Contact information
Practice address
8818 GEORGIA AVE, SUITE 501, FIRST FLOOR, SILVER SPRING, MD 20910-2713
(240) 777-3353
(240) 777-1367
Mailing address
8226 SKIPWITH DR, FREDERICK, MD 21702-9499
(301) 631-1863
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R081733
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R081733
REGISTERED NURSE LICENSE
MD
Enumeration date
10/24/2006
Last updated
07/09/2007
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