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St. Mary's Medical Center, Llc
Psychiatric/Mental Health Nurse Practitioner in Upper Marlboro, Maryland
NPI 1467159004

St. Mary's Medical Center, Llc is a Psychiatric/Mental Health Nurse Practitioner based in Upper Marlboro, MD and is specialized in Psychiatric/Mental Health. St. Mary's Medical Center, Llc practices in Upper Marlboro, MD. The NPI Number for St. Mary's Medical Center, Llc is 1467159004 and holds a License No. (Maryland).

The current practice location address for St. Mary's Medical Center, Llc is 4701 Tripper Ln, Upper Marlboro, MD and can be reached out via phone at 240-547-8986. You can also correspond with St. Mary's Medical Center, Llc through the mailing address at 4701 TRIPPER LN, UPPER MARLBORO, MD - 20772-6038 (mailing address contact number: 240-547-8986).

Location: 4701 Tripper Ln, Upper Marlboro, MD, 20772-6038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467159004
Provider Name
St. Mary's Medical Center, Llc
Credential
Provider Entity Type
Organization
Address
4701 Tripper Ln, Upper Marlboro, MD, 20772-6038
Phone Number
240-547-8986
Fax Number
Provider Enumeration Date
02/14/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4701 Tripper Ln
City
Upper Marlboro
State
Maryland
Zip
20772-6038
Phone Number
240-547-8986
Fax Number
person
Provider Business Mailing Address Details
Address
4701 Tripper Ln
City
Upper Marlboro
State
Maryland
Zip
20772-6038
Phone Number
240-547-8986
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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