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NPI Code Detail

MEDICARE: MRS. PATRIES ESI NAGBE

MEDICARE:  MRS. PATRIES ESI NAGBE
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
1374U00000XHome Health AideA00175088MD

General Provider Information

NPI Number : 1669187290
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATRIES ESI NAGBE
Provider Business Mailing Address
First Line : 8642 HOULTON HARBOUR
Second Line :
City : PASADENA
State : MD
Zip : 21122-2570
Country : US
Telephone Number : 443-790-3548
Fax Number :
Provider Business Practice Location Address
First Line : 8642 HOULTON HARBOUR
Second Line :
City : PASADENA
State : MD
Zip : 21122-2570
Country : US
Telephone Number : 443-790-3548
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2023
Last Update Date : 01/18/2023

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Directions to “ MRS. PATRIES ESI NAGBE ” Practice Location

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