Provider Demographics
NPI:1205587284
Name:NNAH, CHIAMAKA ADAKU (RN, PMHNP-BC, DNP)
Entity type:Individual
Prefix:DR
First Name:CHIAMAKA
Middle Name:ADAKU
Last Name:NNAH
Suffix:
Gender:F
Credentials:RN, PMHNP-BC, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3220 RIDGEWAY PL
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-1021
Mailing Address - Country:US
Mailing Address - Phone:443-857-5355
Mailing Address - Fax:
Practice Address - Street 1:405 FREDERICK RD STE 11
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4607
Practice Address - Country:US
Practice Address - Phone:443-468-4838
Practice Address - Fax:410-231-6333
Is Sole Proprietor?:No
Enumeration Date:2022-01-12
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR239396163W00000X, 163WP0809X, 163WP0807X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent