Individual provider · Type 1 NPI
Mary Jo Lanphear, RN
Community Health Registered Nurse · Edgewood, MD
NPI number
1114041258
Active
Practice location
1837 Pulaski Hwy
Edgewood, MD 21040-1609
Mailing address
2515 Fairway Dr
Bel Air, MD 21015-6352
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | R096598 (MD) |
Community Health Registered Nurse: Definition to come...
About NPI 1114041258
Mary Jo Lanphear, RN's National Provider Identifier is 1114041258, issued on Mar 16, 2007. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Edgewood, MD. The record was last updated on Jul 8, 2007.