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Organization
CHIDERA HEALTH AND MENTAL HEALTH SERVICES LLC
Active
Organization
CHIDERA HEALTH AND MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLEMENTINA NWANDU CRNP (CEO)
(240) 978-7515
Entity
Organization
Contact information
Practice address
14258 OXFORD DR, LAUREL, MD 20707-5854
(240) 978-7515
Mailing address
14258 OXFORD DR, LAUREL, MD 20707-5854
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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