Individual provider · Type 1 NPI
Marisela Davis, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Glen Burnie, MD
NPI number
1508799735
Active
Practice location
6720G Ritchie Hwy # 267
Glen Burnie, MD 21061-2319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 264099 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1508799735
Marisela Davis, PMHNP's National Provider Identifier is 1508799735, issued on Jun 6, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Glen Burnie, MD. The record was last updated on Jun 6, 2026.