Organization · Type 2 NPI
Vivian Imo Psychiatry, LLC
Psychiatric/Mental Health Nurse Practitioner · Glen Burnie, MD
NPI number
1013775014
Active
Practice location
1412 Crain Hwy N Ste 6B
Glen Burnie, MD 21061-9306
Fax (301) 477-8931
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
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- Vivian Adaeze Imo, DNP, CRNP-PMHPsychiatric/Mental Health Nurse Practitioner Glen Burnie, MD NPI 1528651924
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About NPI 1013775014
Vivian Imo Psychiatry, LLC's National Provider Identifier is 1013775014, issued on Mar 13, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Glen Burnie, MD. The record was last updated on Feb 16, 2026.