Yvonne Wambaa, APRN | |
405 Frederick Rd Ste 162, Baltimore, MD 21228-4646 | |
(443) 637-1002 | |
Not Available |
Full Name | Yvonne Wambaa |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 405 Frederick Rd Ste 162, Baltimore, Maryland |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154092716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R186550 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Triumph Behavioral Health Llc | 9739470667 | 6 |
Entity Name | Triumph Behavioral Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376999581 PECOS PAC ID: 9739470667 Enrollment ID: O20160623000286 |
Mailing Address | Practice Location Address |
---|---|
Yvonne Wambaa, APRN 22 S Greene St, Baltimore, MD 21201-1544 Ph: (443) 857-2704 | Yvonne Wambaa, APRN 405 Frederick Rd Ste 162, Baltimore, MD 21228-4646 Ph: (443) 637-1002 |
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