Individual provider · Type 1 NPI
Dominic M. Omwenga
Psychiatric/Mental Health Nurse Practitioner · Elkton, MD
NPI number
1275161408
Active
Practice location
106 Bow St
Elkton, MD 21921-5544
Mailing address
22 Chaddwyck Blvd
New Castle, DE 19720-8822
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AC003032 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1275161408
Dominic M. Omwenga's National Provider Identifier is 1275161408, issued on Apr 1, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Elkton, MD. The record was last updated on Apr 1, 2020.