person
Ms. Siyami Egbase Takha, CRNP
Psychiatric/Mental Health Nurse Practitioner in Waldorf, Maryland
NPI 1760995021

Siyami Egbase Takha is a Psychiatric/Mental Health Nurse Practitioner based in Charlotte Hall, MD and is specialized in Psychiatric/Mental Health. Siyami Egbase Takha practices in Waldorf, MD and has the professional credentials of CRNP. The NPI Number for Siyami Egbase Takha is 1760995021 and holds a License No. R194882 (Maryland).

The current practice location address for Siyami Egbase Takha is 12070 Old Line Ctr Ste 209, Waldorf, MD and can be reached out via phone at 202-705-4133. You can also correspond with Siyami Egbase Takha through the mailing address at 30007 BUSINESS CENTER DR, CHARLOTTE HALL, MD - 20622-3101 (mailing address contact number: 301-997-1300).

Location: 12070 Old Line Ctr Ste 209, Waldorf, MD, 20622-3101
person
Provider Profile Details
NPI Number
1760995021
Provider Name
Siyami Egbase Takha
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
12070 Old Line Ctr Ste 209, Waldorf, MD, 20622-3101
Phone Number
202-705-4133
Fax Number
Provider Enumeration Date
11/08/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12070 Old Line Ctr Ste 209
City
State
Zip
20602-2567
Phone Number
202-705-4133
Fax Number
person
Provider Business Mailing Address Details
Address
12070 Old Line Ctr Ste 209
City
State
Zip
20602-2567
Phone Number
202-705-4133
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R194882 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
R194882 (Maryland)
Definition
Definition to come...
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