# AEGIS PRACTITIONERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Frederick Child and Adolescent Mental Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619660537
- **Authorized official:** DANA NEARMAN PMHNP-BC, FNP-BC (OWNER)
- **Authorized official phone:** (240) 656-1033

## Contact information

- **Practice address:** 1475 TANEY AVE, FREDERICK, MD 21702-4747
- **Practice address phone:** (240) 446-7633
- **Mailing address:** 1475 TANEY AVE STE 105, FREDERICK, MD 21702-5126
- **Mailing address phone:** (240) 446-7633

## Taxonomy

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

## Other

- **Enumeration date:** 05/26/2023
- **Last updated:** 09/30/2024