MRS. CHRISTIANAH BOSEDE EGIEFAMEH


Address: 3107 Erdman Ave, Baltimore, MD 21213-1719
Phone: 4108694602

MRS. CHRISTIANAH BOSEDE EGIEFAMEH (NPI# 1790328268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790328268
Entity Type Individual
Full Name MRS. CHRISTIANAH BOSEDE EGIEFAMEH
Credential PMHNP
Practice Address 3107 Erdman Ave
Baltimore
MD 21213-1719
Mailing Address 413 Commonwealth Ave Ste 7
Catonsville
MD 21228-3044
Practice Telephone 4108694602
Mailing Telephone 4105146718
Enumeration Date 2019-10-28
Last Update Date 2019-10-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
R209071 MD Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD 658022000 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
413 Commonwealth Ave Ste 7, Catonsville, MD 212283044 4105146718

Office Location

Street Address 3107 ERDMAN AVE
City BALTIMORE
State MD
Zip Code 21213-1719

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871074096 Debobeth Medical Center Nurse Practitioner 3107 Erdman Ave, Baltimore, MD 21213-1719 2018-08-25
1043791122 Debobeth Medical Center Clinic/Center 3107 Erdman Ave, Baltimore, MD 21213-1719 2018-08-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225651433 Debobeth Medical Center Clinic/Center 3107-3109 Erdman Avenue, Baltimore, MD 21213 2020-05-21
1538627807 Beverly V Whittaker-mcdermott Social Worker 3007 E. Biddle Street, Baltimore, MD 21213 2019-03-06
1164926085 Redeem Healthcare and Medical System Inc Clinic/Center 3240 Belair Rd Fl 1, Baltimore, MD 21213 2018-03-23
1700398914 Ags Programs LLC Clinic/Center 1807 E. Preston Street, Wolfe Street Suite, Baltimore, MD 21213 2017-10-27
1558883918 Dayspring Programs, Inc. Substance Abuse Rehabilitation Facility 1125 N. Patterson Park Avenue, Baltimore, MD 21213 2017-07-07
1699205294 Live & Let Live LLC Counselor 3549 Elmley Avenue, Baltimore, MD 21213 2017-06-15
1174052518 Vel J Humbert Counselor 3549 Elmley Ave, Baltimore, MD 21213 2017-06-08
1134676620 Larry Kirkland Counselor 3051 Sinclair Lane, Baltimore, MD 21213 2016-09-01
1093170862 Renewed Minds Therapeutic Services LLC Clinic/Center 1515 E Biddle Street, Baltimore, MD 21213 2015-12-22
1073980827 Family Therapy Services,llc Counselor 3238-40 Belair Road, 2nd Floor, Baltimore, MD 21213 2015-08-27
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BALTIMORE
Zip Code 21213

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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