Individual
JOHANNA FANGMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
13424 PENNSYLVANIA AVE, STE 101, HAGERSTOWN, MD 21742-2658
(301) 370-6688
Mailing address
13424 PENNSYLVANIA AVE, STE 101, HAGERSTOWN, MD 21742-2658
(301) 370-6688
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R134352
MD
Other
Enumeration date
10/29/2009
Last updated
08/22/2013
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