MRS. VIVIAN ADAEZE IMO CRNP-PMH NPI 1528651924

NPI Information

NPI: 1528651924
Provider Name: MRS. VIVIAN ADAEZE IMO, CRNP-PMH
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
4416 E WEST HWY STE 310
BETHESDA, MD
ZIP 20814
Phone: (443) 708-5856
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MRS. Vivian Adaeze Imo, CRNP-PMH is a psychiatric/mental health nurse practitioner in Bethesda, MD with 4 years of experience. MRS. Vivian Adaeze Imo, CRNP-PMH NPI is 1528651924. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4416 E WEST HWY STE 310
BETHESDA, MD
ZIP 20814-573
Phone: (443) 708-5856

The NPI 1528651924 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/17/2021 and was last updated on 8/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	2020130751	MARYLAND	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	R224518	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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