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Individual

SOUMYA MANNOOR PUNNOOSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
196 THOMAS JOHNSON DR STE 230, FREDERICK, MD 21702-4524
(833) 444-4267
Mailing address
196 THOMAS JOHNSON DR STE 230, FREDERICK, MD 21702-4524
(833) 444-4267

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R221507
MD

Other

Enumeration date
12/15/2025
Last updated
12/15/2025
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