Healthcare Provider Details

I. General information

NPI: 1750033643
Provider Name (Legal Business Name): SCONZA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2022
Last Update Date: 02/27/2023
Certification Date: 02/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 E LEXINGTON ST STE 200
BALTIMORE MD
21202-3520
US

IV. Provider business mailing address

1821 MORNING BROOK DR
FOREST HILL MD
21050-2629
US

V. Phone/Fax

Practice location:
  • Phone: 410-275-0975
  • Fax: 410-275-0983
Mailing address:
  • Phone: 410-275-0975
  • Fax: 410-275-0983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: FRANCISCA C NWAIGWE
Title or Position: CO-OWNER
Credential: MSN, FNP-BC
Phone: 410-866-0000