institution
Antietam Family Health, Llc
Psychiatric/Mental Health Nurse Practitioner in Hagerstown, Maryland
NPI 1548972318

Antietam Family Health, Llc is a Psychiatric/Mental Health Nurse Practitioner based in Hagerstown, MD and is specialized in Psychiatric/Mental Health. Antietam Family Health, Llc practices in Hagerstown, MD. The NPI Number for Antietam Family Health, Llc is 1548972318 and holds a License No. (Maryland).

The current practice location address for Antietam Family Health, Llc is 1101 Opal Ct Ste 217, Hagerstown, MD and can be reached out via phone at 240-203-8864 and via fax at 240-866-8173.

Location: 1101 Opal Ct Ste 217, Hagerstown, MD, 21740-5941
institution
Provider Profile Details
NPI Number
1548972318
Provider Name
Antietam Family Health, Llc
Credential
Provider Entity Type
Organization
Address
1101 Opal Ct Ste 217, Hagerstown, MD, 21740-5941
Phone Number
240-203-8864
Fax Number
240-866-8173
Provider Enumeration Date
12/23/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
287005300 05 MD
319064100 05 MD
institution
Provider Business Practice Location Address Details
Address
1101 Opal Ct Ste 217
City
State
Zip
21740-5941
Phone Number
240-203-8864
Fax Number
240-866-8173
person
Provider Business Mailing Address Details
Address
1101 Opal Ct Ste 217
City
State
Zip
21740-5941
Phone Number
240-203-8864
Fax Number
240-866-8173
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
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
License No.
()
Definition
Definition to come...
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