Individual
MISS MARY ANN DAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC. PMHNP-BC
Contact information
Practice address
365 W PATRICK ST FL 205, FREDERICK, MD 21701-5093
(240) 446-0717
(410) 202-2107
Mailing address
6810 STONELEDGE CT, NEW MARKET, MD 21774-6685
(336) 601-1255
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AC001349
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R215473
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2632275
UNITED HEALTHCARE
—
05
—
7003805
—
NC
01
—
83-00153
EVERCARE
—
Enumeration date
02/16/2006
Last updated
11/30/2023
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