Individual
SCARLET FANNIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-CNP
Contact information
Practice address
319 W PATRICK ST, FREDERICK, MD 21701-4855
(240) 888-9642
Mailing address
319 W PATRICK ST, FREDERICK, MD 21701-4855
(240) 888-9642
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R193502
MD
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R193502
MD
Other
Enumeration date
05/08/2011
Last updated
09/22/2020
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