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NPI Code Detail

MEDICARE: NKENBEZA C. NKEMASONG OWONA

MEDICARE: NKENBEZA C. NKEMASONG OWONA
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
1163WP0808XPsychiatric/Mental Health Registered NurseRN200006558DC
2374U00000XHome Health Aide
3251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1437420163
Entity Type Code : Individual
Provider Name (Legal Business Name) : NKENBEZA C. NKEMASONG OWONA
Provider Business Mailing Address
First Line : 11224 EVANS TRL APT 204
Second Line :
City : BELTSVILLE
State : MD
Zip : 20705-3915
Country : US
Telephone Number : 240-643-0359
Fax Number :
Provider Business Practice Location Address
First Line : 4017 MINNESOTA AVE NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-3541
Country : US
Telephone Number : 202-388-9202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2012
Last Update Date : 06/14/2023

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