Organization
CABIN JOHN PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN MARY SORENSEN-TANENBAUM PMH-NP, FNP-C (NURSE PRACTITIONER/OFFICE MANAGER)
(301) 741-6101
Entity
Organization
Contact information
Practice address
6500 SEVEN LOCKS RD, SUITE 206, CABIN JOHN, MD 20818-1300
(301) 320-3701
(301) 320-3774
Mailing address
6500 SEVEN LOCKS RD, SUITE 206, CABIN JOHN, MD 20818-1300
(301) 320-3701
(301) 320-3774
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D19680
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R160645
MD
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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