Organization
MADDEN PROFESSIONAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIANE NGUELE (OWNER)
(301) 541-7178
Entity
Organization
Contact information
Practice address
5505 1/2 REISTERSTOWN RD, BALTIMORE, MD 21215-4406
(301) 541-7178
Mailing address
15502 HUMBERSIDE WAY, UPPER MARLBORO, MD 20774-8046
(301) 541-7178
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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