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Organization
IC HEALTH SERVICES INC
Active
Organization
IC HEALTH SERVICES INC
Active
Other names
IC Health Service Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHIDINMA JENNIFER ONYEGWU DNP, CRNP, PMHNP-BC (PSYCHIATRIC NURSE PRACTITIONER)
(301) 793-0626
Entity
Organization
Contact information
Practice address
110 PAINTERS MILL RD STE 105, OWINGS MILLS, MD 21117-5251
(443) 620-3616
(443) 960-7963
Mailing address
6720G RITCHIE HWY STE 417, GLEN BURNIE, MD 21061-2319
(443) 620-3616
(443) 960-7963
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
12/31/2019
Last updated
04/10/2024
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