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NPI Code Detail

MEDICARE: RENIE EFUETNGU LEKE TAZISONG PMHNP-BC

MEDICARE:   RENIE EFUETNGU LEKE TAZISONG  PMHNP-BC
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
1163WP0808XPsychiatric/Mental Health Registered NurseAC004226MD

General Provider Information

NPI Number : 1629727730
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENIE EFUETNGU LEKE TAZISONG PMHNP-BC
Provider Business Mailing Address
First Line : 5609 PINE BLUFF CT
Second Line :
City : FREDERICK
State : MD
Zip : 21704-6894
Country : US
Telephone Number : 240-728-5997
Fax Number :
Provider Business Practice Location Address
First Line : 7067 COLUMBIA GATEWAY DR STE 180
Second Line :
City : COLUMBIA
State : MD
Zip : 21046-3408
Country : US
Telephone Number : 410-929-7225
Fax Number : 443-333-5434
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2022
Last Update Date : 08/08/2024

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Directions to “ RENIE EFUETNGU LEKE TAZISONG PMHNP-BC” Practice Location

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