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NPI Code Detail

MEDICARE: CHINYERE UGWANYI CRNP, PMHNP

MEDICARE: CHINYERE UGWANYI CRNP, PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner95027889CA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerCOA.15582-NPOH
3363LP0808XPsychiatric/Mental Health Nurse PractitionerR237702MD
4363LP0808XPsychiatric/Mental Health Nurse Practitioner0024175875VA
5363LP0808XPsychiatric/Mental Health Nurse PractitionerSP029327PA

General Provider Information

NPI Number : 1063831212
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHINYERE UGWANYI CRNP, PMHNP
Provider Business Mailing Address
First Line : 5100 BUCKEYSTOWN PIKE STE 250
Second Line :
City : FREDERICK
State : MD
Zip : 21704-8344
Country : US
Telephone Number : 301-263-7441
Fax Number : 443-558-3779
Provider Business Practice Location Address
First Line : 5100 BUCKEYSTOWN PIKE STE 250
Second Line :
City : FREDERICK
State : MD
Zip : 21704-8344
Country : US
Telephone Number : 301-637-4412
Fax Number : 443-558-3779
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2014
Last Update Date : 06/24/2024

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