Organization · Type 2 NPI
Antietam Family Health LLC
Family Nurse Practitioner · Hagerstown, MD
NPI number
1710791348
Active
Practice location
1219 Mount Aetna Rd Ste 201
Hagerstown, MD 21742-6550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1710791348
Antietam Family Health LLC's National Provider Identifier is 1710791348, issued on Feb 4, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hagerstown, MD. The record was last updated on Feb 24, 2026.