Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Vivian Adaeze Imo, DNP, CRNP-PMH

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1528651924

Dr. Vivian Adaeze Imo, DNP, CRNP-PMH is a Nurse Practitioner in Glen Burnie, Maryland. Qualified in 2020, 6 years ago. Practices with MD Matt LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
6
Licensed in
MD
In the registry since
2021
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

1412 Crain Hwy N Ste 6B
Glen Burnie, MD 21061-9306
Phone: (301) 377-6669
Fax: (301) 477-8931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R224518 (MD)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 2020130751 (MD)

Record details

NPI number1528651924
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , CRNP-PMH
Sole proprietorNo
NPI enumeratedFebruary 17, 2021
Last updated in NPPESJanuary 31, 2026
Certification dateJanuary 31, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Md Matt Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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