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Psychnp Wellness Center, LLC

Nurse Practitioner, Psych/Mental Health in Towson, MD. Organization (NPI-2).

NPI number1184042004
StatusActive
Last updated in NPPESMar 29, 2014

Details

NPI
1184042004
Entity type
Organization (NPI-2)
Legal business name
Psychnp Wellness Center, LLC
Organization subpart
No
Enumeration date
Mar 29, 2014
Last updated
Mar 29, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental HealthR114531MDYes

Practice location

658 Kenilworth Drive
Suite 206
Towson, MD 21204

Phone 410-321-1388 · Fax 410-321-9314

Mailing address

658 Kenilworth Drive
Suite 206
Towson, MD 21204

Phone 410-321-1388 · Fax 410-321-9314

Authorized official

Teri A Murtha
Owner
4103211388

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