Organization · Type 2 NPI

Magnolia Psychiatric Services PLLC

Psychiatric/Mental Health Nurse Practitioner · Frederick, MD

NPI number 1417423989 Active

Practice location

7100 Guilford Dr # 2071
Frederick, MD 21704-5257

Call (360) 567-8466 Map

Fax (660) 951-7859

Mailing address

4400 NE 77th Ave Ste 275
Vancouver, WA 98662-6857

Other practice locations

  • 4400 NE 77th Ave Ste 275, Vancouver, WA 98662-6857 · (360) 567-8466

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

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

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About NPI 1417423989

Magnolia Psychiatric Services PLLC's National Provider Identifier is 1417423989, issued on Oct 22, 2018. 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 Mar 10, 2026.