Provider Demographics
NPI:1326829797
Name:NWADIOGBU, ADANNA (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:ADANNA
Middle Name:
Last Name:NWADIOGBU
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9605 BARKSTON CT
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3707
Mailing Address - Country:US
Mailing Address - Phone:240-330-3744
Mailing Address - Fax:
Practice Address - Street 1:9605 BARKSTON CT
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3707
Practice Address - Country:US
Practice Address - Phone:240-330-3744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-11
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNP500003873363LP0808X
MDR263633363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health