IndividualActive
Mary Ellen Revenis, MD
NPI 1477630820 · Neonatal-Perinatal Medicine Physician · Washington, DC
Provider details
- NPI number
- 1477630820
- Entity type
- Individual
- Primary specialty
- Neonatal-Perinatal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- E69361 (DC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
111 Michigan Ave Nw
Washington, DC 20010-2978
Phone: (202) 884-5448
Approximate (ZIP-level) locationGet directions
Mailing address
111 Michigan Ave Nw
Washington, DC 20010-2978
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.