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Individual

MR. BRENT DONMOYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
301 INSPIRATION LN, GAITHERSBURG, MD 20878-5817
(240) 252-3349
(240) 477-5265
Mailing address
12315 PISSARO DR, NORTH POTOMAC, MD 20878-3478
(301) 524-3782

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN526107L
PA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN526107L
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R155630
MD

Other

Enumeration date
05/11/2017
Last updated
11/08/2023
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