Blossom Integrated Health and Behavioral Services LLC
NPI #1043057722 in Hagerstown, Maryland
Provider Information
- NPI Number
- 1043057722
- Entity Type
- Organization
- Organization Name
- Blossom Integrated Health and Behavioral Services LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Jul 10, 2024
- Last Updated
- Jul 10, 2024
Practice Location
- Address
- 338 MILL ST
- City
- Hagerstown
- State
- Maryland
- ZIP Code
- 21740-6138
- Phone
- (240) 347-4494
Authorized Official
- Name
- IHUOMA MARVELOUS UDEAGHA, DNP
- Title
- CEO
- Phone
- (240) 347-4494
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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