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

Clarksburg Dermatology and Skincare LLC

Organization Nurse Practitioner · NPI 1316439078

Clarksburg Dermatology and Skincare LLC is a Nurse Practitioner in Clarksburg, Maryland. Licensed in Maryland. Registered with an NPI since 2018.

Licensed in
MD
In the registry since
2018
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

23202 Brewers Tavern Way
Clarksburg, MD 20871
Phone: (301) 298-1818
Fax: (301) 540-1865
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R134352 (MD)

Record details

NPI number1316439078
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johanna Fangmeyer — Owner · (301) 298-1818
NPI enumeratedMay 30, 2018
Last updated in NPPESJuly 12, 2018
Mailing address1136 Opal Ct, Hagerstown, MD 21740-5940

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