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Ms. Adeline L Azong
Psychiatric/Mental Health Nurse Practitioner in Severn, Maryland
NPI 1548951817

Adeline L Azong is a Psychiatric/Mental Health Nurse Practitioner based in Severn, MD and is specialized in Psychiatric/Mental Health. Adeline L Azong practices in Severn, MD. The NPI Number for Adeline L Azong is 1548951817 and holds a License No. R229040 (Maryland).

The current practice location address for Adeline L Azong is 1603 Sun High Ter, Severn, MD and can be reached out via phone at 240-603-3340.

Location: 1603 Sun High Ter, Severn, MD, 21144-1622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548951817
Provider Name
Adeline L Azong
Credential
Provider Entity Type
Individual
Gender
Female
Address
1603 Sun High Ter, Severn, MD, 21144-1622
Phone Number
240-603-3340
Fax Number
Provider Enumeration Date
05/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1603 Sun High Ter
City
Severn
State
Maryland
Zip
21144-1622
Phone Number
240-603-3340
Fax Number
person
Provider Business Mailing Address Details
Address
1603 Sun High Ter
City
Severn
State
Maryland
Zip
21144-1622
Phone Number
240-603-3340
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
R229040 (Maryland)
Definition
Definition to come...
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