Provider Demographics
NPI:1588904080
Name:WELLING, MARILYN R (ANCC)
Entity type:Individual
Prefix:
First Name:MARILYN
Middle Name:R
Last Name:WELLING
Suffix:
Gender:F
Credentials:ANCC
Other - Prefix:
Other - First Name:MARILYN
Other - Middle Name:
Other - Last Name:SMIRAGLIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANCC
Mailing Address - Street 1:2401 W BELVEDERE AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-5216
Mailing Address - Country:US
Mailing Address - Phone:410-601-5479
Mailing Address - Fax:
Practice Address - Street 1:2401 W BELVEDERE AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-5216
Practice Address - Country:US
Practice Address - Phone:410-601-5479
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-20
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR035876163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult