Nkem G Uradu, CRNP-PMH

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Towson, MD

NPI 1033937875 · NPPES record last updated Oct 1, 2024

Key facts

NPI
1033937875
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
R187991 (MD)
Practice address
8600 Lasalle Road Suite 321
Towson, MD 21286
Phone
(443) 985-0391
NPI assigned
Oct 1, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
R187991MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ijkl Services Incorporated Current
since Oct 6, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R187991 MD Yes

Addresses

Primary practice location

8600 Lasalle Road Suite 321
Towson, MD 21286

Mailing address

8600 Lasalle Road Suite 321
Towson, MD 21218
Phone (443) 985-0391

Other providers in Towson, MD

All providers in Towson, MD · Psychiatric/Mental Health Nurse Practitioner in Maryland

Sources for this page

Verify at the official NPI Registry.