MEDICARE: MRS. NADEGE NICOLE FEVRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	101YM0800X	Mental Health Counselor	MD
2	1041C0700X	Clinical Social Worker	MD
3	106H00000X	Marriage & Family Therapist	MD

General Provider Information

NPI Number	:	1962412320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NADEGE NICOLE FEVRY

Provider Business Mailing Address
First Line	:	6475 NEW HAMPSHIRE AVE
Second Line	:	SUITE 610
City	:	HYATTSVILLE
State	:	MD
Zip	:	20783-3269
Country	:	US
Telephone Number	:	301-270-3200
Fax Number	:	301-270-4600

Provider Business Practice Location Address
First Line	:	6475 NEW HAMPSHIRE AVE
Second Line	:	SUITE 610
City	:	HYATTSVILLE
State	:	MD
Zip	:	20783-3269
Country	:	US
Telephone Number	:	301-270-3200
Fax Number	:	301-270-4600

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

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	09/11/2025

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