Individual
PEACE ADA NWOSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP-PMH
Contact information
Practice address
2200 KERNAN DR, BALTIMORE, MD 21207-6665
(410) 448-2500
Mailing address
4704 KINGS MILL WAY, OWINGS MILLS, MD 21117-6637
(443) 635-2890
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R178843
MD
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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