Individual provider · Type 1 NPI
Soumya Mannoor Punnoose, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Frederick, MD
NPI number
1063376911
Active
Practice location
196 Thomas Johnson Dr Ste 230
Frederick, MD 21702-4524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R221507 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1063376911
Soumya Mannoor Punnoose, PMHNP's National Provider Identifier is 1063376911, issued on Dec 15, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Frederick, MD. The record was last updated on Dec 15, 2025.