Individual provider · Type 1 NPI

Patricia Maforngwahfor Tala

Psychiatric/Mental Health Nurse Practitioner · Clinton, MD

NPI number 1609617703 Active

Practice location

9135 Piscataway Rd Ste 410
Clinton, MD 20735-2555

Call (240) 643-1063 Map

Mailing address

10203 Birdie Ln
Upper Marlboro, MD 20774-6068

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	R224410 (MD)

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

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About NPI 1609617703

Patricia Maforngwahfor Tala's National Provider Identifier is 1609617703, issued on Jun 3, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Clinton, MD. The record was last updated on Jun 3, 2024.