MISS MARY ANN DAMERON FNP-BC. PMHNP-BC NPI 1467426254

NPI Information

NPI: 1467426254
Provider Name: MISS MARY ANN DAMERON, FNP-BC. PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
365 W PATRICK ST FL 205
FREDERICK, MD
ZIP 21701
Phone: (240) 446-0717
Get Directions

MISS Mary Ann Dameron, FNP-BC. PMHNP-BC is a psychiatric/mental health nurse practitioner in Frederick, MD with 7 years of experience. MISS Mary Ann Dameron, FNP-BC. PMHNP-BC NPI is 1467426254. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

365 W PATRICK ST FL 205
FREDERICK, MD
ZIP 21701-093
Phone: (240) 446-0717
Fax: (410) 202-2107

The NPI 1467426254 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/16/2006 and was last updated on 11/30/2023.

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
1	363LF0000X	Nurse Practitioner	Family	AC001349	MARYLAND	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	R215473	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	83-00153	OTHER		EVERCARE
2	7003805	MEDICAID	NORTH CAROLINA
3	2632275	OTHER		UNITED HEALTHCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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