Provider Demographics
NPI:1992077846
Name:FERINDE, MARY PAMELA
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:PAMELA
Last Name:FERINDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:PAMELA
Other - Last Name:OSTROSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:10140 CLEARSPRING RD
Mailing Address - Street 2:
Mailing Address - City:DAMASCUS
Mailing Address - State:MD
Mailing Address - Zip Code:20872-2333
Mailing Address - Country:US
Mailing Address - Phone:301-367-5887
Mailing Address - Fax:
Practice Address - Street 1:10140 CLEARSPRING RD
Practice Address - Street 2:
Practice Address - City:DAMASCUS
Practice Address - State:MD
Practice Address - Zip Code:20872-2333
Practice Address - Country:US
Practice Address - Phone:301-367-5887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR077705163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse