# TIDEWATER WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427883644
- **Authorized official:** MEGAN ROWE DINGUS CRNP, FNP, PMHNP (PMHNP)
- **Authorized official phone:** (443) 892-1811

## Contact information

- **Practice address:** 617 FRANKLIN AVE UNIT 7, BERLIN, MD 21811-1358
- **Practice address phone:** (443) 892-1811
- **Mailing address:** 617 FRANKLIN AVE UNIT 7, BERLIN, MD 21811-1358
- **Mailing address phone:** (443) 892-1811
- **Mailing address fax:** (908) 484-9585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/06/2024
- **Last updated:** 04/15/2025