Individual
MR. FIDELIS ONYEKACHI NWACHUKWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP-PMH
Contact information
Practice address
179 BRYNWOOD ST, HAGERSTOWN, MD 21740-5087
(240) 527-0943
Mailing address
179 BRYNWOOD ST, HAGERSTOWN, MD 21740-5087
(240) 527-0943
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R233179
MD
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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