Martha Tadesse Chonchoro, PMHNP-BC Valid NPI

Individual provider · Psychiatric/Mental Health Nurse Practitioner · Boyds, MD

NPI

1790549772

Type

Individual (Type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0808X

License number

R212474 (MD)

Sex

Female

Sole proprietor

No

Enumerated

2024-02-09

Last updated

2024-02-09