John-Idiagbonya, Tenni O

John-Idiagbonya, Tenni O is an individual health care provider with primary practice located at 55 Wade Ave , Catonsville MD 21228-4663. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. John-Idiagbonya, Tenni O can be contacted via phone (410) 402-7718.

Contact Information

Primary practice address
55 Wade Ave Catonsville MD 21228-4663
Phone: (410) 402-7718
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X R187565 Maryland

Profile Details

NPI number 1053850008
LBN Legal business name John-Idiagbonya, Tenni O
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2017
Last updated Feb 22nd, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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