DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARIBETH ROSE BOEKE GANZELL, LAT, ATC

Active

MARIBETH ROSE BOEKE GANZELL, LAT, ATC is a Athletic Trainer healthcare provider located in ST MARYS CITY, Maryland. NPI 1831717073 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · ST MARYS CITY, MD

Registration Details

NPI Number
1831717073
Provider Type
Individual
Gender
Female
NPI Issued
Jul 13, 2020 (6.0538152132665 yrs)
Last Updated
Jul 13, 2020
License
A00247 (MD)

Practice Information

Address
18952 E FISHER RD
ST MARYS CITY, MD, 206863001
Browse MD providers · Browse ZIP 20686
Phone
9092412853
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in ST MARYS CITY, MD

Name Credential NPI
MR. WILLIAM JAMES CRANMER ATC 1003889338
MISS JENNIFER ROSE ANDERSON ATC 1174927420
MICHELLE MOREAU M.S. ATC/LAT 1053993493
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.