Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Clarksburg Dermatology and Skincare LLC

Organization Nurse Practitioner · NPI 1316439078

Clarksburg Dermatology and Skincare LLC provides Nurse Practitioner services 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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