Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emem A Ibanga, CRNP-PMH

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1902466451

Emem A Ibanga, CRNP-PMH is a Nurse Practitioner in Nottingham, Maryland. Qualified in 2019, 7 years ago. Practices with Optum Behavioral Care of North Carolina PC, a 176-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
7
Licensed in
MD
In the registry since
2019
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Practice location Address checks out

5022 Campbell Blvd
Nottingham, MD 21236-4969
Phone: (443) 442-1568
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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 R156407 (MD)

Record details

NPI number1902466451
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP-PMH
Sole proprietorNo
NPI enumeratedJune 17, 2019
Last updated in NPPESJune 17, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Optum Behavioral Care Of North Carolina Pc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Nottingham