Gantt, Charlene Marie

Gantt, Charlene Marie is an individual health care provider with primary practice located at 5970 Frederick Crossing Ln Ste 100 , Frederick MD 21704-5176. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Gantt, Charlene Marie can be contacted via phone (240) 415-6373.

Contact Information

Primary practice address
5970 Frederick Crossing Ln Ste 100 Frederick MD 21704-5176
Phone: (240) 415-6373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024170482 Virginia

Profile Details

NPI number 1760726269
LBN Legal business name Gantt, Charlene Marie
Credentials CRNP PMH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2012
Last updated May 26th, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers