Individual provider · Type 1 NPI

Lori Tiffany Maze

Nurse Practitioner · Upper Marlboro, MD

NPI number 1356714372 Active

Practice location

9500 Medical Center Dr
Upper Marlboro, MD 20774-3701

Call (703) 975-4774 Map

Fax (540) 301-6195

Mailing address

10006 Chesney Dr
Spotsylvania, VA 22553-1776

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X0024173056 (VA)

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 1356714372

Lori Tiffany Maze's National Provider Identifier is 1356714372, issued on Nov 12, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Upper Marlboro, MD. The record was last updated on Mar 19, 2025.