Organization · Type 2 NPI

Evergreen Healthcare Clinic Limited Liability Company

Psychiatric/Mental Health Nurse Practitioner · Baltimore, MD

NPI number 1659162402 Active

Practice location

300 N Charles St Ste D
Baltimore, MD 21201-4305

Call (240) 644-5570 Map

Mailing address

13707 Crownsgate Way
Germantown, MD 20874-4424

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

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

5 other providers at this address

Other psychiatric/mental health nurse practitioner providers in Baltimore

See all in Baltimore →

About NPI 1659162402

Evergreen Healthcare Clinic Limited Liability Company's National Provider Identifier is 1659162402, issued on May 13, 2025. 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 Jul 7, 2026.