Organization · Type 2 NPI

Citadel Behavioral Healthcare Consulting LLC

Nurse Practitioner · Cheverly, MD

NPI number 1013692367 Active

Practice location

6492 Landover Rd Ste B3
Cheverly, MD 20785-1400

Mailing address

9814 Passage Dr
Upper Marlboro, MD 20772-4544

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1013692367

Citadel Behavioral Healthcare Consulting LLC's National Provider Identifier is 1013692367, issued on Jun 15, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cheverly, MD. The record was last updated on Sep 2, 2026.