Individual
MAUREEN IFEANYI EDOZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4 BONNIE DOON CT, BALTIMORE, MD 21207-3900
(443) 509-7036
Mailing address
8028 RITCHIE HWY # 210, PASADENA, MD 21122-1075
(410) 766-1995
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R194010
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R194010
MD
Other
Enumeration date
07/18/2017
Last updated
11/12/2024
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