Individual provider · Type 1 NPI

Marie Lo

Psychiatric/Mental Health Nurse Practitioner · Hanover, MD

NPI number 1639540982 Active · reactivated Sep 11, 2025

Practice location

7661 Arundel Mills Blvd # 1039
Hanover, MD 21076-1305

Call (201) 238-3796 Map

Fax (667) 356-4252

Mailing address

5133 Park Heights Ave
Baltimore, MD 21215-5816

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XR247223 (MD)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1639540982

Marie Lo's National Provider Identifier is 1639540982, issued on Oct 13, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Hanover, MD. The record was last updated on May 19, 2026.