Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. THERESE JEAN BOHANNON, RN
ActiveChild & Adolescent Psychiatric Nurse · WALDORF, MD
Registration Details
- NPI Number
- 1568248201
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 7, 2023 (2.6601511235473 yrs)
- Last Updated
- Sep 7, 2023
- License
-
R138795 (MD)
Practice Information
- Address
-
11100 BILLINGSLEY RDWALDORF, MD, 206023400Browse MD providers · Browse ZIP 20602
- Phone
- 2023899115
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
Other Child & Adolescent Psychiatric Nurse Providers in WALDORF, MD
| Name | Credential | NPI |
|---|---|---|
| TRAVIS ANDRE MCPHUN | RN | 1265312870 |
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.