Individual
MS. SIYAMI EGBASE TAKHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
12070 OLD LINE CTR STE 211, SAINT CHARLES, MD 20602-2567
(202) 600-6748
(800) 521-0943
Mailing address
12070 OLD LINE CTR STE 211, SAINT CHARLES, MD 20602-2567
(202) 600-6748
(800) 521-0943
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R194882
MD
363LP2300X
Primary Care Nurse Practitioner
R194882
MD
Other
Enumeration date
11/08/2017
Last updated
03/05/2026
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