DIANE AURELIE MEFODAM NWAMOH PMHNP-BC NPI 1114618766

NPI Information

  • NPI: 1114618766
  • Provider Name: DIANE AURELIE MEFODAM NWAMOH, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1400 W LOMBARD STREET
    STE A, PMB 2090
    BALTIMORE, MD
    ZIP 21223
  • Phone: (443) 447-1063

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NPI Details

Diane Aurelie Mefodam Nwamoh, PMHNP-BC is a psychiatric/mental health nurse practitioner in Baltimore, MD with 3 years of experience. Diane Aurelie Mefodam Nwamoh, PMHNP-BC NPI is 1114618766. 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:

1400 W LOMBARD STREET
STE A, PMB 2090
BALTIMORE, MD
ZIP 21223-134
Phone: (443) 447-1063
Fax: (443) 615-7044

The NPI 1114618766 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 5/16/2023 and was last updated on 6/20/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthR217858MARYLANDYes

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: 3/30/2025

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