Ida Mabelle Konchou, HHA
Ida Mabelle Konchou, HHA is a Nurse Practitioner in Takoma Park, Maryland. Qualified in 2020, 6 years ago. Practices with Lifebridge Community Physicians Inc, a 185-clinician group and accepts Medicare assignment. Licensed in Maryland.
- Years since qualifying
- 6
- Licensed in
- MD
- In the registry since
- 2012
Practice location Address checks out
6731 New Hampshire Ave Apt 409Takoma Park, MD 20912-2801
Phone: (202) 545-0935
Fax: (202) 545-0934
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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 R207705 (MD) |
|---|
Record details
| NPI number | 1134482078 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | HHA |
| Sole proprietor | Yes |
| NPI enumerated | June 15, 2012 |
| Last updated in NPPES | March 20, 2020 |
| Certification date | March 20, 2020 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Lifebridge Community Physicians Inc — 185 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Takoma Park
-
MS. Jannie Lee Doh-Lao, NP
7600 Carroll Ave, Takoma Park, MD 20912-6367 · (301) 891-7600
-
Edith Osei, CRNP
7676 New Hampshire Ave Ste 316, Takoma Park, MD 20912-7515 · (301) 532-8238