Healthcare Provider Details

I. General information

NPI: 1568332054
Provider Name (Legal Business Name): CINDY-BERNADETTE NKWAIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 11/10/2025
Certification Date: 10/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9401 GROVETON CIR APT T05
OWINGS MILLS MD
21117-8311
US

IV. Provider business mailing address

9401 GROVETON CIR APT T05
OWINGS MILLS MD
21117-8311
US

V. Phone/Fax

Practice location:
  • Phone: 443-835-6512
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN500328775
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: