Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN WILT, PMHNP
Active Sole ProprietorJUSTIN WILT, PMHNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in SABILLASVILLE, Maryland. NPI 1457121469 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · SABILLASVILLE, MD
Registration Details
- NPI Number
- 1457121469
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 2, 2024 (2.6300880849396 yrs)
- Last Updated
- Jan 2, 2024
- License
-
2023193496 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4635 FOXVILLE RDSABILLASVILLE, MD, 217808510Browse MD providers · Browse ZIP 21780
- Phone
- 2403676331
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.