Individual provider · Type 1 NPI

Troy G. Modisette, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Baltimore, MD

NPI number 1255974549 Active

Practice location

2401 W Belvedere Ave
Baltimore, MD 21215-5216

Call (410) 601-1000 Map

Mailing address

10601 Virginia Ave
Cockeysville, MD 21030-2315

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	R148972 (MD)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1255974549

Troy G. Modisette, PMHNP's National Provider Identifier is 1255974549, issued on Oct 20, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Baltimore, MD. The record was last updated on Oct 31, 2020.