Organization
AEGIS PRACTITIONERS LLC
Active
Other names
Frederick Child and Adolescent Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
DANA NEARMAN PMHNP-BC, FNP-BC (OWNER)
(240) 656-1033
Entity
Organization
Contact information
Practice address
1475 TANEY AVE, FREDERICK, MD 21702-4747
(240) 446-7633
Mailing address
1475 TANEY AVE STE 105, FREDERICK, MD 21702-5126
(240) 446-7633
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679180657
NPPES
MD
Enumeration date
05/26/2023
Last updated
09/30/2024
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