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NPI Code Detail

MEDICARE: MRS. JOAN IFE UDEJIOFOR FNP

MEDICARE: MRS. JOAN IFE UDEJIOFOR FNP
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 PractitionerF08180305MD

General Provider Information

NPI Number : 1386127942
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JOAN IFE UDEJIOFOR FNP
Provider Business Mailing Address
First Line : 13205 GLOBAL ST
Second Line :
City : BOWIE
State : MD
Zip : 20720-3856
Country : US
Telephone Number : 443-545-9777
Fax Number :
Provider Business Practice Location Address
First Line : 2240 M ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20037-1415
Country : US
Telephone Number : 202-296-9877
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2018
Last Update Date : 03/04/2021

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