Dameron, Mary Ann
Dameron, Mary Ann is an individual health care provider with primary practice located at 365 W Patrick St Fl 205 , Frederick MD 21701-5093. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Dameron, Mary Ann can be contacted via phone (240) 446-0717.Contact Information
Primary practice address
365 W Patrick St Fl 205
Frederick MD 21701-5093
Phone: (240) 446-0717
Fax: (410) 202-2107
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AC001349 | Maryland |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R215473 | Maryland |
Profile Details
NPI number | 1467426254 |
---|---|
LBN Legal business name | Dameron, Mary Ann |
Credentials | FNP-BC. PMHNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 16th, 2006 |
Last updated | Nov 30th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467426254 | NPPES |
Other | 83-00153 | EVERCARE | |
MEDICAID | 7003805 | EVERCARE | |
Other | 2632275 | EVERCARE |
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