Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Antietam Family Health, LLC

Organization Family Nurse Practitioner · NPI 1003693102

Antietam Family Health, LLC is a Family Nurse Practitioner in Hagerstown, Maryland. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

221 E Baltimore St
Hagerstown, MD 21740-6109
Phone: (240) 203-8864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1003693102
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Roncone — Owner/Provider · (240) 203-8864
NPI enumeratedSeptember 12, 2023
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023
Mailing address1101 Opal Ct Ste 217, Hagerstown, MD 21740-5941

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