Organization · Type 2 NPI

St. Mary's County Sheriff's Office

Occupational Health Registered Nurse · Leonardtown, MD

NPI number 1093495095 Active

Practice location

23150 Leonard Hall Dr
Leonardtown, MD 20650-5801

Specialties and licenses

Taxonomy	Code	License
Occupational Health Registered Nurse Primary	163WX0106X	None listed

Occupational Health Registered Nurse: Definition to come...

Another provider at this address

Melanie L. Trifone, REGISTERED NURSEOccupational Health Registered Nurse Leonardtown, MD NPI 1538853825

NPI record

NPI: 1093495095
Entity type: Organization (Type 2)
Issued: Jul 24, 2023
Last updated: Jul 24, 2023
Status: Active
Subpart: Yes of St. Mary's County Commissioners

Other names

Smcso Wellness Center · doing business as

Authorized official

Mr. James R Guy
Commissioner President
(301) 475-4200

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093495095

St. Mary's County Sheriff's Office's National Provider Identifier is 1093495095, issued on Jul 24, 2023. The primary taxonomy on file is Occupational Health Registered Nurse (163WX0106X), and the practice location is in Leonardtown, MD. The record was last updated on Jul 24, 2023.