Organization
VERDURE HEALTH SYSTEM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISHAQ GIWA DNP, CRNP (OWNER)
(202) 503-9335
Entity
Organization
Contact information
Practice address
516 N ROLLING RD STE 305, CATONSVILLE, MD 21228-4142
(202) 503-9335
Mailing address
516 N ROLLING RD STE 305, CATONSVILLE, MD 21228-4142
(202) 503-9335
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
08/02/2024
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