Individual
SYLVIA IBETOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8536 GOLDEN EAGLE LN, SEVERN, MD 21144-3156
(469) 274-3796
Mailing address
8536 GOLDEN EAGLE LN, SEVERN, MD 21144-3156
(469) 274-3796
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R230257
MD
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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