Individual provider · Type 1 NPI
Colette Ache Tebong-Hosel
Psychiatric/Mental Health Nurse Practitioner · Middle River, MD
NPI number
1497414296
Active
Practice location
1515 Martin Blvd
Middle River, MD 21220-4103
Mailing address
7814 Loblolly Way
Hanover, MD 21076-2180
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R162723 (MD) |
| Psychosomatic Medicine Physician | 2084P0015X | R162723 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1497414296
Colette Ache Tebong-Hosel's National Provider Identifier is 1497414296, issued on Dec 9, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Middle River, MD. The record was last updated on Jan 16, 2023.