Individual provider · Type 1 NPI
Ugonma Imo
Psychiatric/Mental Health Nurse Practitioner · Baltimore, MD
NPI number
1225705346
Active
Practice location
6501 N Charles St
Baltimore, MD 21204-6819
Mailing address
3803 Cassandra Rd
Randallstown, MD 21133-3313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R225968 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1225705346
Ugonma Imo's National Provider Identifier is 1225705346, issued on Aug 26, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Baltimore, MD. The record was last updated on Apr 15, 2022.