Individual provider · Type 1 NPI

Mark Anthony Bergonia Ison, CRNP- PMH

Psychiatric/Mental Health Nurse Practitioner · Baltimore, MD

NPI number 1881152783 Active

Practice location

1501 Sulgrave Ave Ste 200
Baltimore, MD 21209-3650

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XR181848 (MD)

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

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About NPI 1881152783

Mark Anthony Bergonia Ison, CRNP- PMH's National Provider Identifier is 1881152783, issued on Mar 9, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Baltimore, MD. The record was last updated on Mar 9, 2019.