Providence Health Group LLC
Providence Health Group LLC is a Psychiatric/Mental Health Nurse Practitioner in Bowie, Maryland. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3060 Mitchellville Rd # 6-ABowie, MD 20716-1389
Phone: (908) 906-7518
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X |
|---|
Record details
| NPI number | 1205773264 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ijeoma Mgboji — Owner · (908) 906-7518 |
| NPI enumerated | April 29, 2026 |
| Last updated in NPPES | August 6, 2026 |
| Certification date | August 6, 2026 |
| Mailing address | 3060 Mitchellville Rd # 6-A, Bowie, MD 20716-1389 |
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