Provider Demographics
NPI:1386275659
Name:MARY KRAWCZEWICZ
Entity type:Organization
Organization Name:MARY KRAWCZEWICZ
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC FAMILY NURSE PRACTITION
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:F
Authorized Official - Last Name:KRAWCZEWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:BC-PFMHNP
Authorized Official - Phone:443-784-8269
Mailing Address - Street 1:4445 WILLARD AVE STE 600
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-3786
Mailing Address - Country:US
Mailing Address - Phone:443-784-8269
Mailing Address - Fax:
Practice Address - Street 1:325 SEVENTH AVENUE
Practice Address - Street 2:12 A FLOOR, SUITE #5
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001
Practice Address - Country:US
Practice Address - Phone:443-784-8269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-27
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty