Individual provider · Type 1 NPI

Marissa Mallari Magtanong, NP

Nurse Practitioner · Glen Burnie, MD

NPI number 1083101810 Active

Practice location

665 Rhone Ct
Glen Burnie, MD 21061-4820

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR160195 (MD)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1083101810

Marissa Mallari Magtanong, NP's National Provider Identifier is 1083101810, issued on Apr 17, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Glen Burnie, MD. The record was last updated on Apr 17, 2018.