Individual
DR. FIDELIS EGHOATEH ATIANJOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1401 MERCANTILE LN STE 200C, UPPER MARLBORO, MD 20774-4309
(301) 332-8886
Mailing address
1401 MERCANTILE LN STE 200C, UPPER MARLBORO, MD 20774-4309
(301) 332-8886
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN221785
MD
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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