Individual
MRS. CHRISTIANAH BOSEDE EGIEFAMEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3107 ERDMAN AVE, BALTIMORE, MD 21213-1719
(410) 869-4602
Mailing address
413 COMMONWEALTH AVE STE 7, CATONSVILLE, MD 21228-3044
(410) 514-6718
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R209071
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
658022000
—
MD
Enumeration date
10/28/2019
Last updated
04/17/2021
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