person
Mrs. Marie Fayette Charles, CRNP-FNP-PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Waldorf, Maryland
NPI 1376048348

Marie Fayette Charles is a Psychiatric/Mental Health Nurse Practitioner based in Waldorf, MD and is specialized in Psychiatric/Mental Health. Marie Fayette Charles practices in Waldorf, MD and has the professional credentials of CRNP-FNP-PMHNP-BC. The NPI Number for Marie Fayette Charles is 1376048348 and holds a License No. 0024180406 (Maryland).

The current practice location address for Marie Fayette Charles is 3261 Old Washington Rd Ste 2020, Waldorf, MD and can be reached out via phone at 240-419-2412 and via fax at 240-366-5753.

Location: 3261 Old Washington Rd Ste 2020, Waldorf, MD, 20602-3231
person
Provider Profile Details
NPI Number
1376048348
Provider Name
Marie Fayette Charles
Credential
CRNP-FNP-PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
3261 Old Washington Rd Ste 2020, Waldorf, MD, 20602-3231
Phone Number
240-419-2412
Fax Number
240-366-5753
Provider Enumeration Date
03/29/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
911012700 05 MD
601507691 05 VA
institution
Provider Business Practice Location Address Details
Address
3261 Old Washington Rd Ste 2020
City
State
Zip
20602-3231
Phone Number
240-419-2412
Fax Number
240-366-5753
person
Provider Business Mailing Address Details
Address
3261 Old Washington Rd Ste 2020
City
State
Zip
20602-3231
Phone Number
240-419-2412
Fax Number
240-366-5753
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R221196 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
0024180406 (Virginia)
Definition
Definition to come...
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