Individual provider · Type 1 NPI

Charlene Marie Gantt, CRNP PMH

Psychiatric/Mental Health Nurse Practitioner · Frederick, MD

NPI number 1760726269 Active

Practice location

5970 Frederick Crossing Ln Ste 100
Frederick, MD 21704-5176

Mailing address

515 Mound Builder Loop
Hedgesville, WV 25427-7833

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X0024170482 (VA)

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

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About NPI 1760726269

Charlene Marie Gantt, CRNP PMH's National Provider Identifier is 1760726269, issued on Nov 21, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Frederick, MD. The record was last updated on May 26, 2026.