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Individual

NWANNEKA CHINONYELUM NDECHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP-PMH

Contact information

Practice address
1400 MERCANTILE LN STE 200, LARGO, MD 20774-5350
(443) 600-0776
Mailing address
1400 MERCANTILE LN STE 200, LARGO, MD 20774-5350
(443) 600-0776

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
R203560
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R203560
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R203560
CRNP-PMH
MD
Enumeration date
01/04/2021
Last updated
01/04/2021
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