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Ms. Kenny Adeshola Amanze, CRNP-PHM
Psychiatric/Mental Health Nurse Practitioner in Upper Marlboro, Maryland
NPI 1962168468

Kenny Adeshola Amanze is a Psychiatric/Mental Health Nurse Practitioner based in Upper Marlboro, MD and is specialized in Psychiatric/Mental Health. Kenny Adeshola Amanze practices in Upper Marlboro, MD and has the professional credentials of CRNP-PHM. The NPI Number for Kenny Adeshola Amanze is 1962168468 and holds a License No. R207092 (Maryland).

The current practice location address for Kenny Adeshola Amanze is 2409 Baikal Loop, Upper Marlboro, MD and can be reached out via phone at 240-643-5160.

Location: 2409 Baikal Loop, Upper Marlboro, MD, 20774-7051
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Provider Profile Details
NPI Number
1962168468
Provider Name
Kenny Adeshola Amanze
Credential
CRNP-PHM
Provider Entity Type
Individual
Gender
Female
Address
2409 Baikal Loop, Upper Marlboro, MD, 20774-7051
Phone Number
240-643-5160
Fax Number
Provider Enumeration Date
11/10/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1043645344 05 MD
1083094056 05 MD
institution
Provider Business Practice Location Address Details
Address
2409 Baikal Loop
City
State
Zip
20774-7051
Phone Number
240-643-5160
Fax Number
person
Provider Business Mailing Address Details
Address
2409 Baikal Loop
City
State
Zip
20774-7051
Phone Number
240-643-5160
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.
R207092 (Maryland)
Definition
Definition to come...
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