Douglas Nana Brobbey
Nurse Practitioner, Psych/Mental Health in Ellicott City, MD. Individual provider (NPI-1).
NPI number1467152256
StatusActive
Last updated in NPPESNov 7, 2024
Details
- NPI
- 1467152256
- Entity type
- Individual (NPI-1)
- Name
- Douglas Nana Brobbey
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 9, 2023
- Certification date
- Nov 7, 2024
- Last updated
- Nov 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | R223153 | MD | Yes |
| 163WP0807X | Registered Nurse, Psych/Mental Health, Child & Adolescent | R223153 | MD |
Practice location
3000 N Ridge RdEllicott City, MD 21043-3311
Phone 410-461-7577
Mailing address
1719 Willard WaySevern, MD 21144-6831
Phone 301-675-9773
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