Individual provider · Type 1 NPI
Emmanuel Kamdem-Sango, PSYCHIATRY NP
Psychiatric/Mental Health Nurse Practitioner · Washington, DC
NPI number
1770080483
Active
Practice location
4130 Hunt Pl NE
Washington, DC 20019-3565
Mailing address
115 Delaware Ave
Glen Burnie, MD 21061-3013
Other practice locations
- 115 Delaware Ave, Glen Burnie, MD 21061 · (443) 354-4477
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R204324 (MD) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN1048184 (DC) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1770080483
Emmanuel Kamdem-Sango, PSYCHIATRY NP's National Provider Identifier is 1770080483, issued on Apr 9, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Washington, DC. The record was last updated on Aug 22, 2024.