Individual
DR. OBINNA OBIEJEMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4805 GARRISON BLVD, BALTIMORE, MD 21215-5695
(410) 800-3440
Mailing address
4805 GARRISON BLVD, BALTIMORE, MD 21215-5695
(410) 800-3440
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R174190
MD
363LF0000X
Family Nurse Practitioner
RN1016041
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R174190
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002097424
—
DC
05
—
0002097424
—
MD
05
—
0002097424
—
VA
Enumeration date
09/14/2012
Last updated
05/13/2020
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