NPI
Martha Tadesse Chonchoro
NPI 1790549772
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- PMHNP-BC
- Type
- Individual
- Enumeration date
- 2024-02-09
- Last updated
- 2024-02-09
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Specialties
Licenses
- License MD
- R212474
Location
- Practice location
- 18842 Broken Oak Rd
- City
- Boyds MD
- Postal code
- 20841-4222
- Phone
- (301) 222-7604
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Boyds, MD. 77 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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