Individual
MRS. PAMELA ELLEN MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN APRN, PMH, BC
Contact information
Practice address
14460 OLD MILL RD, SUITE 201, UPPER MARLBORO, MD 20772-3092
(301) 952-9286
(301) 952-9287
Mailing address
14460 OLD MILL RD, SUITE 201, UPPER MARLBORO, MD 20772-3092
(301) 952-9286
(301) 952-9287
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R052316
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
786410800
—
MD
Enumeration date
03/21/2007
Last updated
10/17/2011
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