MEDICARE: SARA ASHLEY SETHNESS PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	R269946	MD
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R269946	MD
3	163W00000X	Registered Nurse	071405-21	NH
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	071405-23	NH

General Provider Information

NPI Number	:	1538560263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA ASHLEY SETHNESS PMHNP-BC

Provider Business Mailing Address
First Line	:	10630 LITTLE PATUXENT PKWY STE 209
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-6278
Country	:	US
Telephone Number	:	410-740-8066
Fax Number	:

Provider Business Practice Location Address
First Line	:	10630 LITTLE PATUXENT PKWY STE 209
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-6278
Country	:	US
Telephone Number	:	410-740-8066
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2014
Last Update Date	:	02/05/2026

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