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

Renie Efuetngu Leke Tazisong, PMHNP-BC

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1629727730

Renie Efuetngu Leke Tazisong, PMHNP-BC is a Nurse Practitioner in Columbia, Maryland. Qualified in 2021, 5 years ago. Practices with Della Behavioral Health Services, a 54-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
5
Licensed in
MD
In the registry since
2022
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

7067 Columbia Gateway Dr Ste 180
Columbia, MD 21046-3408
Phone: (410) 929-7225
Fax: (443) 333-5434
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence AC004226 (MD)

Record details

NPI number1629727730
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedMarch 23, 2022
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Della Behavioral Health Services — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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