Individual
NICOLE NATASHA MCLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2794 SUGAR PINE CT, ABINGDON, MD 21009-1588
(610) 299-4704
Mailing address
2794 SUGAR PINE CT, ABINGDON, MD 21009-1588
(610) 299-4704
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R204469
MD
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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