Organization · Type 2 NPI
Pure Light Mental Health Services LLC
Psychiatric/Mental Health Nurse Practitioner · Brandywine, MD
NPI number
1174472682
Active
Practice location
14707 Mattawoman Dr
Brandywine, MD 20613-2037
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1174472682
Pure Light Mental Health Services LLC's National Provider Identifier is 1174472682, issued on Jan 27, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Brandywine, MD. The record was last updated on Jan 27, 2026.