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NPI Code Detail

MEDICARE: DAVID MWANGI

MEDICARE:   DAVID  MWANGI
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 PractitionerR202397MD

General Provider Information

NPI Number : 1932707171
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID MWANGI
Provider Business Mailing Address
First Line : 1301 YORK RD STE 800
Second Line :
City : LUTHERVILLE TIMONIUM
State : MD
Zip : 21093-6011
Country : US
Telephone Number : 410-800-4909
Fax Number : 410-800-4275
Provider Business Practice Location Address
First Line : 1301 YORK RD STE 800
Second Line :
City : LUTHERVILLE TIMONIUM
State : MD
Zip : 21093-6011
Country : US
Telephone Number : 410-800-4909
Fax Number : 410-800-4275
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2020
Last Update Date : 07/31/2023

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Directions to “ DAVID MWANGI ” Practice Location

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