Provider Demographics
NPI:1720528631
Name:MALONEY, RENEE W (FNP-C)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:W
Last Name:MALONEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:A
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:9905 MEDICAL CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6535
Mailing Address - Country:US
Mailing Address - Phone:301-294-4644
Mailing Address - Fax:301-294-4648
Practice Address - Street 1:9905 MEDICAL CENTER DR STE 200
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6535
Practice Address - Country:US
Practice Address - Phone:301-294-4644
Practice Address - Fax:301-294-4648
Is Sole Proprietor?:No
Enumeration Date:2017-02-27
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR218408363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily