Mary Wince

Primary specialty

School Nurse PractitionerTaxonomy code 363LS0200X

License

R195682 Issued in MD

Practice address

47665 Margaret Brent Way
St Mary's City, MD 20630

Phone

(240) 895-4289

Fax

(240) 895-4937

NPI assigned

Feb 19, 2016

Last updated

Dec 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Mary Gardiner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Marys College of Maryland Health Services

  • Student Health Clinic/Center
  • St Mary's City, MD
  • NPI 1710755392
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1316306277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47665 MARGARET BRENT WAY",
            "city": "ST MARY'S CITY",
            "state": "MD",
            "postal_code": "20630",
            "telephone_number": "240-895-4289",
            "fax_number": "240-895-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47665 MARGARET BRENT WAY",
            "city": "ST MARY'S CITY",
            "state": "MD",
            "postal_code": "20630",
            "telephone_number": "240-895-4289",
            "fax_number": "240-895-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINCE",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-19",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "MD",
            "license": "R195682",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R195682",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "GARDINER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Centers for Advanced Orthopaedics, LLC
• William James Cranmer, ATC
• Eileen C Ligday, CRNP
• Michelle Moreau, M.S. ATC/LAT
• St Marys College of Maryland Health Services

• Nurse Practitioner in St Mary's City, MD
• Providers in St Mary's City, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.