IndividualActive
Adeline Azong
NPI 1548951817 · Psychiatric/Mental Health Nurse Practitioner · Severn, MD
Provider details
- NPI number
- 1548951817
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- R229040 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1603 Sun High Ter
Severn, MD 21144-1622
Phone: (240) 603-3340
Approximate (ZIP-level) locationGet directions
Mailing address
1603 Sun High Ter
Severn, MD 21144-1622
Registry dates
- Enumerated
- 2023-05-17
- Last updated
- 2023-05-17
- Certified
- 2023-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.