MS. MARIESA KINCH CRNP
NPI 1780681668
Nurse Practitioner in Waldorf, MD

Q: What is Mariesa Kinch's NPI number?

The NPI number for Mariesa Kinch is 1780681668. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Q: What is Mariesa Kinch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mariesa Kinch was last updated on January 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 07, 2005

12070 OLD LINE CTR, STE 207, WALDORF, MD 20602(301) 870-0660(301) 932-8310 Get Directions Write a Review

NPPES record last updated: January 7, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Ms. Mariesa Kinch Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARIESA KINCH CRNP (NPI 1780681668) is an individual nurse practitioner in Waldorf, Maryland, licensed in Maryland (R127505) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1780681668

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. MARIESA KINCHCredential: CRNP

Location Address12070 OLD LINE CTR, STE 207Waldorf, MD 20602-2567

Mailing Address12070 Old Line Ctr, Ste 207Waldorf, MD 20602-2567 · (301) 870-0660 · Fax (301) 932-8310

Phone(301) 870-0660

Fax(301) 932-8310

Sole ProprietorNo

Enumeration DateJuly 7, 2005

Last NPPES UpdateJanuary 7, 2008

✔ NPI 1780681668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MD · R127505

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

12070 OLD LINE CTR, Waldorf, MD 20602

Open in Google Maps ↗

Other Identifiers 2

Medicare UPINP34201MD

Medicare PIN52RRMD

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM JOHN OETGEN M.D.

Specialist

12070 OLD LINE CTR, SUITE 100
WALDORF, MD 20602

Charles County (301) 705-7870

SEETARAMAYYA NAGULA M.D.

Internal Medicine (Gastroenterology)

12070 OLD LINE CTR, SUITE 200
WALDORF, MD 20602

Charles County (301) 645-8035

JOSEPH RAYMOND MURPHY M.D.

Internal Medicine (Gastroenterology)

12070 OLD LINE CTR, STE 200
WALDORF, MD 20602

Charles County (301) 645-8035

MS. JENNIFER LYNN KNODE PAC

Physician Assistant (Medical)

12070 OLD LINE CTR, STE 207
WALDORF, MD 20602

Charles County (301) 870-0660

JESSICA KHOURY MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

12070 OLD LINE CTR
SAINT CHARLES, MD 20602

Charles County (301) 870-4100

DR. DAWN STEPHANIE CHRISTOPHER MD

Internal Medicine (Cardiovascular Disease)

12070 OLD LINE CTR, SUITE 303
WALDORF, MD 20602

Charles County (301) 645-5100

ROBERT TIMOTHY PACE MD

Family Medicine

12070 OLD LINE CTR, SUITE 302
WALDORF, MD 20602

Charles County (301) 645-6667

TERENCE BERTELE M.D.

Internal Medicine (Cardiovascular Disease)

12070 OLD LINE CTR, STE 303
WALDORF, MD 20602

Charles County (301) 645-5100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mariesa Kinch's NPI number?

The NPI number for Mariesa Kinch is 1780681668. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Mariesa Kinch located?

Mariesa Kinch practices at 12070 Old Line Ctr Ste 207, Waldorf, MD 20602. The listed phone number is (301) 870-0660.

What is Mariesa Kinch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mariesa Kinch was last updated on January 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.