Individual
MRS. MYRTIS MARVELL MCCAIN AGEN-DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, FNP-BC
Contact information
Practice address
5411 OLD FREDERICK RD STE 2, BALTIMORE, MD 21229-2126
(410) 775-6394
(410) 881-2477
Mailing address
5411 OLD FREDERICK RD STE 2, BALTIMORE, MD 21229-2126
(410) 775-6394
(410) 881-2477
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R157786
MD
363LF0000X
Family Nurse Practitioner
R157786
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R157786
MD
Other
Enumeration date
11/24/2008
Last updated
07/24/2025
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