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NPI Code Detail

MEDICARE: JOHN KAMAU NGUGI CRNP-BC

MEDICARE: JOHN KAMAU NGUGI CRNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerR179125MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245638048
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN KAMAU NGUGI CRNP-BC
Provider Business Mailing Address
First Line : PO BOX 72098
Second Line :
City : ROSEDALE
State : MD
Zip : 21237-8098
Country : US
Telephone Number : 480-878-7806
Fax Number :
Provider Business Practice Location Address
First Line : 1314 BEDFORD AVE STE 113
Second Line :
City : PIKESVILLE
State : MD
Zip : 21208-3737
Country : US
Telephone Number : 480-877-8780
Fax Number : 443-732-0054
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2014
Last Update Date : 02/08/2019

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