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Contact Information

MYRTIS M AGEN DAVIS, PMHNP-BC, FNP-BC
5411 OLD FREDERICK RD STE 2
BALTIMORE, MD21229-2126
 Phone: 410-775-6394
 Fax: 410-881-2477
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for MYRTIS M AGEN DAVIS · (Female)

NPI # 1386899961
Status Active
Credentials PMHNP-BC, FNP-BC
Entity Individual
Enumeration date 11/24/2008
Last updated 07/24/2025 - About 11 months ago
Sole proprietor 1 Yes
Identifiers
  • MD License # R157786
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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