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NPI 1396390167 · Psychiatric/Mental Health Registered Nurse · Ellicott City, MD
Provider details
- NPI number
- 1396390167
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- R192904 (MD)
Specialties & taxonomies
Nursing Service Providers
Practice location
5223 Ilchester Rd
Ellicott City, MD 21043-7041
Phone: (410) 738-3537
Approximate (ZIP-level) locationGet directions
Mailing address
5223 Ilchester Rd
Ellicott City, MD 21043-7041
Registry dates
- Enumerated
- 2019-08-07
- Last updated
- 2019-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.