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Organization
NEW ERA WELLNESS, LLC
Active
Organization
NEW ERA WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYRTIS AGEN-DAVIS PMHNP-BC, FNP-C (OWNER/NURSE PRACTITIONER)
(410) 775-6394
Entity
Organization
Contact information
Practice address
5411 OLD FREDERICK RD STE 2, BALTIMORE, MD 21229-2126
(410) 775-6394
(410) 881-2477
Mailing address
5411 OLD FREDERICK RD STE 2, BALTIMORE, MD 21229-2126
(410) 775-6394
(410) 881-2477
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
NULL
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/23/2022
Last updated
07/24/2025
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