PSYCHIATRIC NURSE PRACTITIONER ASSOCIATE LLC NPI 1184748667

NPI Information

  • NPI: 1184748667
  • Provider Name: PSYCHIATRIC NURSE PRACTITIONER ASSOCIATE, LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 4401 E WEST HWY
    SUITE 206 B
    BETHESDA, MD
    ZIP 20814
  • Phone: (301) 907-6695

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NPI Details

PSYCHIATRIC NURSE PRACTITIONER ASSOCIATE, LLC is a psychiatric/mental health nurse practitioner in Bethesda, MD. PSYCHIATRIC NURSE PRACTITIONER ASSOCIATE, LLC NPI is 1184748667. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4401 E WEST HWY
SUITE 206 B
BETHESDA, MD
ZIP 20814-523
Phone: (301) 907-6695
Fax: (301) 907-6771

The provider's authorized official is Teresa Richardson .
The authorized official title is Psychiatric Nurse Practitioner and has the following contact phone number (301) 907-6695.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 6/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthR121391MARYLANDYes

What is NPI?

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This page was last updated on: 11/21/2025

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