Organization · Type 2 NPI

Legacy Medical Clinic With Mental Health, LLC

Psychiatric/Mental Health Nurse Practitioner · Temple Hills, MD

NPI number 1912518952 Active

Practice location

4700 Stamp Rd Ste K
Temple Hills, MD 20748-6717

Call (301) 880-4900 Map

Fax (301) 477-4673

Mailing address

9509 Manor Oaks Vw
Upper Marlboro, MD 20772-3192

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

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

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About NPI 1912518952

Legacy Medical Clinic With Mental Health, LLC's National Provider Identifier is 1912518952, issued on Aug 13, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Temple Hills, MD. The record was last updated on Aug 13, 2020.