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NPI Code Detail

MEDICARE: OPPAH SIPIWE MASARIRA APRN-CNP

MEDICARE:   OPPAH SIPIWE MASARIRA  APRN-CNP
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
1363LF0000XFamily Nurse Practitioner1168985TX

General Provider Information

NPI Number : 1104535251
Entity Type Code : Individual
Provider Name (Legal Business Name) : OPPAH SIPIWE MASARIRA APRN-CNP
Provider Business Mailing Address
First Line : 8820 COLUMBIA 100 PKWY STE 430
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-2175
Country : US
Telephone Number : 918-772-7817
Fax Number : 844-909-4754
Provider Business Practice Location Address
First Line : 8820 COLUMBIA 100 PKWY STE 430
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-2175
Country : US
Telephone Number : 918-772-7817
Fax Number : 844-909-4754
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2022
Last Update Date : 02/19/2026

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Directions to “ OPPAH SIPIWE MASARIRA APRN-CNP” Practice Location

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