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NPI Code Detail

MEDICARE: ADELLA NJINDANGAM KWEYILA

MEDICARE:   ADELLA NJINDANGAM KWEYILA
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerR211787MD

General Provider Information

NPI Number : 1699464883
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADELLA NJINDANGAM KWEYILA
Provider Business Mailing Address
First Line : 5910 UPPER CT
Second Line :
City : BOWIE
State : MD
Zip : 20720-5407
Country : US
Telephone Number : 817-675-3358
Fax Number :
Provider Business Practice Location Address
First Line : 5910 UPPER CT
Second Line :
City : BOWIE
State : MD
Zip : 20720-5407
Country : US
Telephone Number : 817-675-3358
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2023
Last Update Date : 11/01/2023

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Directions to “ ADELLA NJINDANGAM KWEYILA ” Practice Location

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