Individual provider · Type 1 NPI
Therese Jean Bohannon, RN
Psychiatric/Mental Health Registered Nurse · Waldorf, MD
NPI number
1568248201
Active
Practice location
11100 Billingsley Rd
Waldorf, MD 20602-3400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | R138795 (MD) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1568248201
Therese Jean Bohannon, RN's National Provider Identifier is 1568248201, issued on Sep 7, 2023. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Waldorf, MD. The record was last updated on Sep 7, 2023.