Organization
TIDEWATER WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN ROWE DINGUS CRNP, FNP, PMHNP (PMHNP)
(443) 892-1811
Entity
Organization
Contact information
Practice address
617 FRANKLIN AVE UNIT 7, BERLIN, MD 21811-1358
(443) 892-1811
Mailing address
617 FRANKLIN AVE UNIT 7, BERLIN, MD 21811-1358
(443) 892-1811
(908) 484-9585
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/06/2024
Last updated
04/15/2025
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