Individual provider · Type 1 NPI

Mariesa Kinch, CRNP

Nurse Practitioner · Waldorf, MD

NPI number 1780681668 Active

Practice location

12070 Old Line Ctr, Ste 207
Waldorf, MD 20602-2567

Fax (301) 932-8310

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR127505 (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 1780681668

Mariesa Kinch, CRNP's National Provider Identifier is 1780681668, issued on Jul 7, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Waldorf, MD. The record was last updated on Jan 7, 2008.