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

Latisha Flanigan, CRNP-PMH

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1710793989

Latisha Flanigan, CRNP-PMH is a Nurse Practitioner in Halethorpe, Maryland. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Maryland.

Years since qualifying
2
Licensed in
MD
In the registry since
2024

Practice location Address checks out

1420 Joh Ave Ste D
Halethorpe, MD 21227-1073
Phone: (443) 435-0030
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R173061 (MD)

Record details

NPI number1710793989
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP-PMH
Sole proprietorYes
NPI enumeratedDecember 3, 2024
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Halethorpe