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NPI Code Detail

MEDICARE: FIDELITY HEALTH CARE LLC

MEDICARE: FIDELITY HEALTH CARE LLC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1003400821
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIDELITY HEALTH CARE LLC
Provider Business Mailing Address
First Line : 4600 POWDER MILL RD STE 450
Second Line :
City : BELTSVILLE
State : MD
Zip : 20705-2686
Country : US
Telephone Number : 240-432-7050
Fax Number : 240-523-9282
Provider Business Practice Location Address
First Line : 4600 POWDER MILL RD STE 450
Second Line :
City : BELTSVILLE
State : MD
Zip : 20705-2686
Country : US
Telephone Number : 240-432-7050
Fax Number : 301-982-3411
Authorized Official
Title or Position : OWNER
Name : BELTTA TACHI
Credential : CRNP-PMH
Telephone Number : 240-432-7050
Provider Enumeration Date : 02/22/2021
Last Update Date : 04/07/2026

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Directions to “FIDELITY HEALTH CARE LLC ” Practice Location

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