Provider Demographics
NPI:1386298768
Name:AITKEN, MOLLY KATHRYN (DNP, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:KATHRYN
Last Name:AITKEN
Suffix:
Gender:F
Credentials:DNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5301 BUCKEYSTOWN PIKE STE 170
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704-8380
Mailing Address - Country:US
Mailing Address - Phone:240-575-9688
Mailing Address - Fax:
Practice Address - Street 1:1003 W 7TH ST STE 403
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-8532
Practice Address - Country:US
Practice Address - Phone:240-575-9688
Practice Address - Fax:301-732-6916
Is Sole Proprietor?:No
Enumeration Date:2019-07-24
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR144899363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health