Individual provider · Type 1 NPI

Ifeyinwa Maduka

Psychiatric/Mental Health Nurse Practitioner · Glenn Dale, MD

NPI number 1497385538 Active

Practice location

12100 Annapolis Rd Ste 2
Glenn Dale, MD 20769-9179

Call (301) 383-0142 Map

Fax (443) 274-4791

Mailing address

12100 Annapolis Rd Unit 2
Glenn Dale, MD 20769-9179

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XR178338 (MD)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1497385538

Ifeyinwa Maduka's National Provider Identifier is 1497385538, issued on Jan 16, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Glenn Dale, MD. The record was last updated on Sep 25, 2026.