Individual
MILLICENT LOTAM CHUKWUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1447 YORK RD STE 506, LUTHERVILLE, MD 21093-6022
(410) 818-8860
Mailing address
1447 YORK RD STE 506, LUTHERVILLE, MD 21093-6022
(410) 818-8860
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R186418
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R186418
MARYLAND BOARD OF NURSING
MD
Enumeration date
11/23/2020
Last updated
03/10/2022
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