Individual
DR. ENYINNAYA ROSE NWANERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,M.P.H.
Contact information
Practice address
1221 MERCANTILE LN, UPPER MARLBORO, MD 20774-5374
(301) 395-2074
Mailing address
7214 KEMPTON RD, LANHAM, MD 20706-1104
(301) 395-2074
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
38480
IA
207L00000X
Anesthesiology Physician
Primary
D70572
MD
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
T4863
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T4863
JHH DOCTOR'S NUMBER
MD
Enumeration date
01/29/2007
Last updated
06/27/2021
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