MEDICARE: NAIER A ANHARY PMHNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R158276	MD

General Provider Information

NPI Number	:	1689629552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAIER A ANHARY PMHNP

Provider Business Mailing Address
First Line	:	849 FAIRMOUNT AVE FL 5
Second Line	:
City	:	TOWSON
State	:	MD
Zip	:	21286-2624
Country	:	US
Telephone Number	:	410-832-2729
Fax Number	:	443-659-2429

Provider Business Practice Location Address
First Line	:	9030 STATE ROUTE 108 STE A
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-1990
Country	:	US
Telephone Number	:	410-740-1901
Fax Number	:

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

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	09/11/2024

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