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Tri-state Family Medicine & Behavioral Health, Llc
Family Nurse Practitioner in Darnestown, Maryland
NPI 1992231609

Tri-state Family Medicine & Behavioral Health, Llc is a Family Nurse Practitioner based in Darnestown, MD and is specialized in Family. Tri-state Family Medicine & Behavioral Health, Llc practices in Darnestown, MD. The NPI Number for Tri-state Family Medicine & Behavioral Health, Llc is 1992231609 and holds a License No. (Maryland).

The current practice location address for Tri-state Family Medicine & Behavioral Health, Llc is 17833 Fair Lady Way, Darnestown, MD and can be reached out via phone at 304-777-9039.

Location: 17833 Fair Lady Way, Darnestown, MD, 20874-2289
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992231609
Provider Name
Tri-state Family Medicine & Behavioral Health, Llc
Credential
Provider Entity Type
Organization
Address
17833 Fair Lady Way, Darnestown, MD, 20874-2289
Phone Number
304-777-9039
Fax Number
Provider Enumeration Date
05/02/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
17833 Fair Lady Way
City
Darnestown
State
Maryland
Zip
20874-2289
Phone Number
304-777-9039
Fax Number
person
Provider Business Mailing Address Details
Address
17833 Fair Lady Way
City
Darnestown
State
Maryland
Zip
20874-2289
Phone Number
304-777-9039
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
76278 (West Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
R208314 (Maryland)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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