NPI 1548419476 · live from the CMS NPI Registry
Mairen L Baunhofer, NP
Nurse Practitioner, Family in Berlin, MD. National Provider Identifier 1548419476, active.
NPI record
| NPI | 1548419476 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 11101 Cathage Rd, Berlin, MD 21811 |
| Practice phone | 410-912-6104 |
| Mailing address | 30265 Commerce Dr, Unit 207, Millsboro, DE 19966 |
| Enumerated | September 16, 2008 |
| Last updated | June 29, 2020 |
| Sole proprietor | No |
| Other names | Mairen Holland |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | R169373 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.