Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Marie Fayette Charles, CRNP-FNP-PMHNP-BC

Individual provider Family Nurse Practitioner · NPI 1376048348

Mrs. Marie Fayette Charles, CRNP-FNP-PMHNP-BC is a Nurse Practitioner in Waldorf, Maryland. Qualified in 2016, 10 years ago. Practices with National Capital Treatment and Recovery, an 11-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Maryland and Virginia.

Years since qualifying
10
Licensed in
MD, VA
In the registry since
2018
Specialties on file
4
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Practice location Address checks out

3261 Old Washington Rd Ste 2020
Waldorf, MD 20602-3231
Phone: (240) 419-2412
Fax: (240) 366-5753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4669 Falls Rd, Baltimore, MD 21209-4914 — (800) 427-1902
  • 2670 Crain Hwy Ste 510, Waldorf, MD 20601-2819 — (240) 416-6836
  • 1554 Columbia Pike, Arlington, VA 22204-4667 — (703) 649-8014

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R221196 (MD)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024180406 (VA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R221196 (MD)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 0024180406 (VA)

Record details

NPI number1376048348
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP-FNP-PMHNP-BC
Sole proprietorNo
NPI enumeratedMarch 29, 2018
Last updated in NPPESJanuary 10, 2022
Certification dateJanuary 10, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice National Capital Treatment And Recovery — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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