Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marie Lo

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1639540982

Marie Lo is a Nurse Practitioner in Hanover, Maryland. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Maryland.

Years since qualifying
2
Licensed in
MD
In the registry since
2015
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Practice location Address checks out

7661 Arundel Mills Blvd # 1039
Hanover, MD 21076-1305
Phone: (201) 238-3796
Fax: (667) 356-4252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R247223 (MD)

Record details

NPI number1639540982
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 13, 2015
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing address5133 Park Heights Ave, Baltimore, MD 21215-5816

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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