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NPI Code Detail

MEDICARE: EDIRIN UWAYZOR

MEDICARE: EDIRIN UWAYZOR
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 PractitionerR213688MD

General Provider Information

NPI Number : 1144791195
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDIRIN UWAYZOR
Provider Business Mailing Address
First Line : 7323 HANOVER PKWY STE A
Second Line :
City : GREENBELT
State : MD
Zip : 20770-3617
Country : US
Telephone Number : 202-253-5509
Fax Number :
Provider Business Practice Location Address
First Line : 7323 HANOVER PKWY STE A
Second Line :
City : GREENBELT
State : MD
Zip : 20770-3617
Country : US
Telephone Number : 443-708-5856
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2018
Last Update Date : 12/10/2025

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Directions to “ EDIRIN UWAYZOR ” Practice Location

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