Provider Demographics
NPI:1114273497
Name:GREENWALD, MARGARET N (CRNP-PMH)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:N
Last Name:GREENWALD
Suffix:
Gender:F
Credentials:CRNP-PMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6305 HOLLINS DR
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-2350
Mailing Address - Country:US
Mailing Address - Phone:301-530-7439
Mailing Address - Fax:301-530-7439
Practice Address - Street 1:6305 HOLLINS DR
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-2350
Practice Address - Country:US
Practice Address - Phone:301-530-7439
Practice Address - Fax:301-530-7439
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-24
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR168298163WP0808X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty