Organization
MED 1ST WALKIN CLINIC AND PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL WALLS FNP (OWNER)
(240) 362-7279
Entity
Organization
Contact information
Practice address
15 S CENTRE ST, CUMBERLAND, MD 21502-3017
(240) 362-7279
Mailing address
15 S CENTRE ST, CUMBERLAND, MD 21502-3017
(240) 362-7279
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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