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

Siphra Ngum Mukoro

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1477289619

Siphra Ngum Mukoro is a Nurse Practitioner in Laurel, Maryland. Qualified in 2022, 4 years ago. Practices with Psychogeriatric Services LLC, a 124-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
4
Licensed in
MD
In the registry since
2022
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Practice location Address checks out

13994 Baltimore Ave
Laurel, MD 20707-5087
Phone: (301) 477-2128
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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 R223264 (MD)

Record details

NPI number1477289619
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 29, 2022
Last updated in NPPESJuly 29, 2022
Certification dateJuly 25, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Psychogeriatric Services Llc — 124 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Laurel