Organization · Type 2 NPI
Tri-State Family Medicine & Behavioral Health, LLC
Nurse Practitioner · Darnestown, MD
Practice location
17833 Fair Lady Way
Darnestown, MD 20874-2289
Other practice locations
- 501 N Frederick Ave Ste 300, Gaithersburg, MD 20877-2507 · (304) 777-9039
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Nurse Practitioner Primary | 363L00000X | R208314 (MD) |
| Family Nurse Practitioner | 363LF0000X | 76278 (WV) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
Another provider at this address
About NPI 1992231609
Tri-State Family Medicine & Behavioral Health, LLC's National Provider Identifier is 1992231609, issued on May 2, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Darnestown, MD. The record was last updated on Feb 2, 2021.