Antietam Family Health, LLC
NPI #1003693102 in Hagerstown, Maryland
Provider Information
- NPI Number
- 1003693102
- Entity Type
- Organization
- Organization Name
- Antietam Family Health, LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Sep 12, 2023
- Last Updated
- Sep 12, 2023
Practice Location
- Address
- 221 E BALTIMORE ST
- City
- Hagerstown
- State
- Maryland
- ZIP Code
- 21740-6109
- Phone
- (240) 203-8864
Authorized Official
- Name
- MARK ANTHONY RONCONE
- Title
- OWNER/PROVIDER
- Phone
- (240) 203-8864
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Nurse Practitioner - Family — Family |
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