Organization
VIVIAN IMO PSYCHIATRY, LLC
Active
Other names
VIPsychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVIAN ADAEZE IMO DNP, CRNP-PMH (OWNER)
(301) 821-7488
Entity
Organization
Contact information
Practice address
1412 CRAIN HWY N STE 6B, GLEN BURNIE, MD 21061-9306
(301) 337-6669
(301) 477-8931
Mailing address
1412 CRAIN HWY N STE 6B, GLEN BURNIE, MD 21061-9306
(301) 377-6669
(301) 477-8931
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
02/16/2026
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