Individual provider · Type 1 NPI

Emem A. Ibanga, CRNP-PMH

Psychiatric/Mental Health Nurse Practitioner · Nottingham, MD

NPI number 1902466451 Active

Practice location

5022 Campbell Blvd
Nottingham, MD 21236-4969

Mailing address

4712 Elsrode Ave
Baltimore, MD 21214-2809

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XR156407 (MD)

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

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About NPI 1902466451

Emem A. Ibanga, CRNP-PMH's National Provider Identifier is 1902466451, issued on Jun 17, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Nottingham, MD. The record was last updated on Jun 17, 2019.