Individual provider · NPI-1

Gideon Esuzor

Nurse Practitioner, Psych/Mental Health · Wilmington, DE

NPI number1649920216

StatusActive

Last updated in NPPESDec 17, 2025

Details

NPI: 1649920216
Entity type: Individual (NPI-1)
Name: Gideon Esuzor
Sex: Male
Sole proprietor: Yes
Enumeration date: Mar 26, 2022
Certification date: Dec 17, 2025
Last updated: Dec 17, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LP0808X	Nurse Practitioner, Psych/Mental Health	L8-0010781	DE	Yes
163WP0809X	Registered Nurse, Psych/Mental Health, Adult	RN190476	GA
363LP0808X	Nurse Practitioner, Psych/Mental Health	0024189217	VA
363LP0808X	Nurse Practitioner, Psych/Mental Health	AC006300	MD

Practice location

2300 Pennsylvania Ave Unit LLC
Wilmington, DE 19806-1392

Phone 302-213-6158 · Fax 855-530-2764

Mailing address

13603 White Barn Ln
Herndon, VA 20171-3341

Phone 404-788-2882

Other practice locations

10770 Columbia Pike Ste 300
Silver Spring, MD 20901-4439

Phone 302-213-6158 · Fax 855-530-2764

10450 Shaker Dr Ste 110
Columbia, MD 21046-2348

Phone 410-800-8179

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