Provider Demographics
NPI:1841291689
Name:FRAMM, MYRA (RN MA CSP)
Entity type:Individual
Prefix:MRS
First Name:MYRA
Middle Name:
Last Name:FRAMM
Suffix:
Gender:M
Credentials:RN MA CSP
Other - Prefix:MRS
Other - First Name:MYRA
Other - Middle Name:FRAHM
Other - Last Name:FRAMM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN MA CSP
Mailing Address - Street 1:8813 HARNESS TRL
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-2556
Mailing Address - Country:US
Mailing Address - Phone:301-983-8733
Mailing Address - Fax:301-983-8733
Practice Address - Street 1:4405 E WEST HWY
Practice Address - Street 2:STE 407
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4522
Practice Address - Country:US
Practice Address - Phone:301-986-5231
Practice Address - Fax:703-938-3563
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR021349163WP0808X, 364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Not Answered364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health