Provider Demographics
NPI:1063831212
Name:UGWANYI, CHINYERE (CRNP, PMHNP)
Entity Type:Individual
Prefix:
First Name:CHINYERE
Middle Name:
Last Name:UGWANYI
Suffix:
Gender:F
Credentials:CRNP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5100 BUCKEYSTOWN PIKE
Mailing Address - Street 2:STE 250
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704-8344
Mailing Address - Country:US
Mailing Address - Phone:301-733-0331
Mailing Address - Fax:301-733-4038
Practice Address - Street 1:5100 BUCKEYSTOWN PIKE
Practice Address - Street 2:STE 250
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-8344
Practice Address - Country:US
Practice Address - Phone:301-733-0330
Practice Address - Fax:301-739-7380
Is Sole Proprietor?:No
Enumeration Date:2014-04-15
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.15582-NP363LP0808X
MDR237702363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health