Healthcare Provider Details

I. General information

NPI: 1154108215
Provider Name (Legal Business Name): FRANCES IHENACHO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2023
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 FLEET ST STE 200
BALTIMORE MD
21224-4243
US

IV. Provider business mailing address

3700 FLEET ST STE 200
BALTIMORE MD
21224-4243
US

V. Phone/Fax

Practice location:
  • Phone: 443-703-3600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR262487
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: