Individual provider · NPI-1

Mabi T Ntumazah, PMHNP

Nurse Practitioner, Psych/Mental Health · Glen Burnie, MD

NPI number1275894503
StatusActive
Last updated in NPPESJun 12, 2026

Details

NPI
1275894503
Entity type
Individual (NPI-1)
Name
Mabi T Ntumazah
Credential
PMHNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 4, 2012
Certification date
Jun 12, 2026
Last updated
Jun 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental HealthR205083MDYes
374U00000X Home Health Aide––

Practice location

420 Crain Hwy S Ste 3
Glen Burnie, MD 21061-3657

Phone 410-595-6199 · Fax 410-684-5334

Mailing address

420 Crain Hwy S Ste 3
Glen Burnie, MD 21061-3657

Phone 410-595-6199 · Fax 410-684-5334

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