Provider Demographics
NPI:1912316118
Name:RHULE, MARJORIANN (AGNP, MSN, BSN)
Entity type:Individual
Prefix:MRS
First Name:MARJORIANN
Middle Name:
Last Name:RHULE
Suffix:
Gender:F
Credentials:AGNP, MSN, BSN
Other - Prefix:
Other - First Name:MARJORIANN
Other - Middle Name:F
Other - Last Name:HART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1713 SHILLING LANE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906
Mailing Address - Country:US
Mailing Address - Phone:202-378-7412
Mailing Address - Fax:
Practice Address - Street 1:9801 GEORGIA AVENUE
Practice Address - Street 2:SUITE 224
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902
Practice Address - Country:US
Practice Address - Phone:301-593-9000
Practice Address - Fax:301-593-1061
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-13
Last Update Date:2016-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR220118363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology