Organization
EQUILIBRIUM HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIDINMA JENNIFER ONYEGWU DNP,CRNP,FNP, PMHNP (NURSE PRACTITIONER)
(301) 793-0626
Entity
Organization
Contact information
Practice address
76 SUMMER ST STE 200A, FITCHBURG, MA 01420-5707
(619) 936-0112
Mailing address
5364 TARKINGTON PL, COLUMBIA, MD 21044-5407
(301) 793-0626
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205271418
NPI
—
Enumeration date
02/07/2023
Last updated
04/10/2024
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