Healthcare Provider Details

I. General information

NPI: 1801567615
Provider Name (Legal Business Name): FALGUNI PATEL FNP-BC, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2021
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

188 THOMAS JOHNSON DR
FREDERICK MD
21702-4505
US

IV. Provider business mailing address

7955 TUCKERMAN LN
ROCKVILLE MD
20854-3243
US

V. Phone/Fax

Practice location:
  • Phone: 301-378-0178
  • Fax:
Mailing address:
  • Phone: 866-389-2727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR214491
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR214491
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: