Individual
MR. COLMAN EJERENWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1922 W PRATT STREET, BALTIMORE, MD 21223
(301) 536-0044
Mailing address
1922 W PRATT STREET, BALTIMORE, MD 21223
(301) 536-0044
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R197772
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R197772
MD
Other
Enumeration date
12/10/2019
Last updated
06/29/2026
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