Edith Ann Serrano
Individual provider Active NPI Nurse's Aide · Perryville, MD
NPI 1114750403 · NPPES record last updated Aug 22, 2024
Key facts
- NPI
- 1114750403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- Practice address
- 409 Front St
Perryville, MD 21903-2699 - Phone
- (917) 501-6982
- NPI assigned
- Aug 22, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | Yes |
Addresses
Primary practice location
409 Front St
Perryville, MD 21903-2699
Mailing address
PO Box 747
Perryville, MD 21903-0747
Phone (917) 501-6982
Other providers in Perryville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.