Organization
KIND HEART WELLNESS SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA CHINAGOROM OKORIE-ANOCHIE CRNP (NURSE PRACTITIONER)
(443) 600-2400
Entity
Organization
Contact information
Practice address
31 HOWARD ST, ABERDEEN, MD 21001-2445
(443) 600-2400
Mailing address
31 HOWARD ST, ABERDEEN, MD 21001-2445
(443) 543-8432
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
587074700
—
MD
Enumeration date
12/05/2019
Last updated
07/13/2021
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