Organization
PATRIOT PSYCHIATRIC AND ALLIED HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT UZEGBULEM EZEDIKE (NURSE PRACTITIONER)
(410) 916-4825
Entity
Organization
Contact information
Practice address
309 JOPPA CROSSING WAY, JOPPA, MD 21085-3742
(410) 916-4825
Mailing address
309 JOPPA CROSSING WAY, JOPPA, MD 21085-3742
(410) 916-4825
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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