Organization
AEGIS PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RANI MATHEW GEORGE PMHNP (PSYCHIATRIC NURSE PRACTITIONER)
(443) 365-1017
Entity
Organization
Contact information
Practice address
144 NINA LANE, FRUITLAND, MD 21826
(443) 365-1017
Mailing address
144 NINA LANE, FRUITLAND, MD 21826
(443) 365-1017
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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