Healthcare Provider Details

I. General information

NPI: 1750867560
Provider Name (Legal Business Name): ANGELA MICHELLE HESTER DNP, CRNP-PMH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2018
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6525 N CHARLES ST #085
TOWSON MD
21204
US

IV. Provider business mailing address

1447 YORK RD STE 408
LUTHERVILLE MD
21093-6084
US

V. Phone/Fax

Practice location:
  • Phone: 410-296-2232
  • Fax:
Mailing address:
  • Phone: 410-296-2232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024182472
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR232699
License Number StateMD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: