Organization
MOUNTAINVIEW MIND & MOOD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENNARO MARENGA CRNP (PSYCHIATRIC NURSE PRACTITIONER)
(757) 478-7008
Entity
Organization
Contact information
Practice address
712 GLENBROOK DR, MIDDLETOWN, MD 21769-7752
(757) 478-7008
Mailing address
712 GLENBROOK DR, MIDDLETOWN, MD 21769-7752
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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