Theresa Granitto
Individual provider Active NPI Community Health Registered Nurse · North Potomac, MD
NPI 1639675002 · NPPES record last updated Apr 3, 2018
Key facts
- NPI
- 1639675002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- RN1047999 (DC)
- Practice address
- 14630 Keeneland Cir
North Potomac, MD 20878-3771 - Phone
- (301) 520-7474
- NPI assigned
- Apr 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1047999 | DC | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN1047999 | DC | Yes |
Addresses
Primary practice location
14630 Keeneland Cir
North Potomac, MD 20878-3771
Mailing address
14630 Keeneland Cir
North Potomac, MD 20878-3771
Phone (301) 520-7474
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- Gloria M Lee, DDS, PC
- Andrea Meri Golden
- Ho Chang Han
- Carolyn Joan Harrington
- Charles C Harrington
- Mark Jan Harrison
- Narmin Sadat Hejazifar
All providers in North Potomac, MD · Community Health Registered Nurse in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2018. 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.