Provider Demographics
NPI:1558056978
Name:NAWROCKI, MEGAN L (PMHNP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:L
Last Name:NAWROCKI
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1821 OXFORD SQ
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-8315
Mailing Address - Country:US
Mailing Address - Phone:410-955-2784
Mailing Address - Fax:
Practice Address - Street 1:1717 E MONUMENT ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0027
Practice Address - Country:US
Practice Address - Phone:410-955-1725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR1995392084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry