Provider Demographics
NPI:1558077891
Name:DALTON, ANNE WAYSON (MSN, CRNP, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:WAYSON
Last Name:DALTON
Suffix:
Gender:
Credentials:MSN, CRNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 ENGLISH RUN TURN
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:MD
Mailing Address - Zip Code:21152-8843
Mailing Address - Country:US
Mailing Address - Phone:202-240-2623
Mailing Address - Fax:202-989-2410
Practice Address - Street 1:44 ENGLISH RUN TURN
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:MD
Practice Address - Zip Code:21152-8843
Practice Address - Country:US
Practice Address - Phone:301-941-7561
Practice Address - Fax:301-936-0378
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR185116363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty