Individual
MR. GIDEON NYAMBIYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
7820B WORMANS MILL RD #326, FREDERICK, MD 21701
(240) 541-2790
Mailing address
1808 DERRS CT, FREDERICK, MD 21701-2519
(240) 541-2790
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R239528
MD
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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