Healthcare Provider Details

I. General information

NPI: 1972433407
Provider Name (Legal Business Name): ALYSON SEGRID MCMANNIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALYSON SEGRID DIGNAN DIGNAN

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 W PATRICK ST
FREDERICK MD
21701-6945
US

IV. Provider business mailing address

237 PHILADELPHIA AVE
WAYNESBORO PA
17268-2617
US

V. Phone/Fax

Practice location:
  • Phone: 301-662-0099
  • Fax:
Mailing address:
  • Phone: 240-672-3470
  • Fax: 240-672-3470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberR214499
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: