Organization
MASTER PLAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMONA WHITE MSN, CRNP-PMHNP (OWNER IF ENTITY)
(800) 633-0268
Entity
Organization
Contact information
Practice address
6700 ALEXANDER BELL DR STE 200, COLUMBIA, MD 21046-2105
(800) 633-0268
Mailing address
3825 EFFIE FOX WAY, UPPER MARLBORO, MD 20774-9253
(800) 633-0268
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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