Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | RN1006167 | DC |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | RN154277 | MD |
NPI | 1033220710 |
---|---|
Provider Name | Paula R Mascendaro |
First Address | Silver Spring, MD 20906-2484 |
Second Address | Baltimore, MD 21218-5304 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 22/12/2015 |