Agen-Davis, Myrtis Marvell-Mccain

Agen-Davis, Myrtis Marvell-Mccain is an sole proprietor health care provider with primary practice located at 715 Ingleside Ave , Catonsville MD 21228-1726. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Agen-Davis, Myrtis Marvell-Mccain can be contacted via phone (410) 775-6394.

Contact Information

Primary practice address
715 Ingleside Ave Catonsville MD 21228-1726
Phone: (410) 775-6394
Fax: (410) 744-6520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X R157786 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R157786 Maryland

Profile Details

NPI number 1386899961
LBN Legal business name Agen-Davis, Myrtis Marvell-Mccain
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 2008
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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