Organization · Type 2 NPI

MD Matt LLC

Adult Health Nurse Practitioner · Frederick, MD

NPI number 1619583200 Active

Practice location

309 E Patrick St
Frederick, MD 21701-6792

Mailing address

10220 S Dolfield Rd Ste 106
Owings Mills, MD 21117-3660

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XNone listed

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1619583200

MD Matt LLC's National Provider Identifier is 1619583200, issued on Sep 18, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Frederick, MD. The record was last updated on Jul 16, 2024.