1730273020 NPI number — MS. JANET MARIE RIORDAN CNM

Table of content: MS. JANET MARIE RIORDAN CNM (NPI 1730273020)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730273020 NPI number — MS. JANET MARIE RIORDAN CNM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RIORDAN
Provider First Name:
JANET
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
CNM
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730273020
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/21/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11125 RUTLEDGE DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH POTOMAC
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20878-2501
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
240-483-9309
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
26005 RIDGE RD
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
DAMASCUS
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20872-1892
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-414-2305
Provider Business Practice Location Address Fax Number:
301-253-3451
Provider Enumeration Date:
10/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 367A00000X , with the licence number:  R077676 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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