ANTIETAM FAMILY HEALTH, LLC; NPI #1316724842

Contact Information

ANTIETAM FAMILY HEALTH, LLC

427 E PATRICK ST
FREDERICK, MD 21701-5777

Phone: 240-203-8864
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Family	363LF0000X	50	Nurse Practitioner
Psychiatric/Mental Health	363LP0808X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for ANTIETAM FAMILY HEALTH, LLC

NPI Number	`1316724842`
LBN Legal business name	ANTIETAM FAMILY HEALTH, LLC
Authorized official	MARK RONCONE - (OWNER/PROVIDER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/08/2023
Last updated	02/24/2026 - About 3 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ANTIETAM FAMILY HEALTH, LLC

Contact Information

Specialty

Family

Psychiatric/Mental Health

NPI Profile & details for ANTIETAM FAMILY HEALTH, LLC

Reviews for ANTIETAM FAMILY HEALTH, LLC