# MERCY HEALTH CARE AND CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952033011
- **Authorized official:** CHINYENUM OTUYA NP (OWNER)
- **Authorized official phone:** (240) 476-3951

## Contact information

- **Practice address:** 1400 MERCANTILE LN STE 204, LARGO, MD 20774-5352
- **Practice address phone:** (240) 476-3951
- **Mailing address:** 9500 MEDICAL CENTER DR STE 262, LARGO, MD 20774-3709
- **Mailing address phone:** (240) 476-3951

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/28/2022
- **Last updated:** 11/21/2025