Healthcare Provider Details

I. General information

NPI: 1528982089
Provider Name (Legal Business Name): ALEXIUS NWANWA PMHNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8118 HARFORD RD STE E
BALTIMORE MD
21234-5725
US

IV. Provider business mailing address

8118 HARFORD RD STE E
BALTIMORE MD
21234-5725
US

V. Phone/Fax

Practice location:
  • Phone: 443-225-4300
  • Fax: 410-497-0506
Mailing address:
  • Phone: 443-225-4300
  • Fax: 410-497-0506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR136472
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: