NPI 1962188789 · live from the CMS NPI Registry
Ganiyat Funmilayo Efuntoye
Nurse Practitioner, Psych/Mental Health in Hyattsville, MD. National Provider Identifier 1962188789, active.
NPI record
| NPI | 1962188789 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Psych/Mental Health 363LP0808X |
| Practice location | 6475 New Hampshire Ave, Hyattsville, MD 20783 |
| Practice phone | 240-357-8763 |
| Mailing address | 6863 Old Waterloo Road 1828, Elkridge, MD 21075 |
| Enumerated | June 26, 2023 |
| Last updated | June 26, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice | 163WG0000X | RN183978 (MD) |
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | CRNP-PMH (MD) |
| Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent | 364SP0807X | CRNP-PMH (MD) |
| Nurse Practitioner, Psych/Mental Health primary | 363LP0808X | CRNP-PMH (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.