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Organization
MERCY HEALTH CARE AND CLINIC
Active
Organization
MERCY HEALTH CARE AND CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHINYENUM OTUYA NP (OWNER)
(240) 476-3951
Entity
Organization
Contact information
Practice address
1400 MERCANTILE LN STE 204, LARGO, MD 20774-5352
(240) 476-3951
Mailing address
9500 MEDICAL CENTER DR STE 262, LARGO, MD 20774-3709
(240) 476-3951
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
—
NULL
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
11/21/2025
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