Individual
EMMANUEL ESOKA NUSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP-PMH
Contact information
Practice address
7511 LOCKMAN LN, BELTSVILLE, MD 20705-6310
(240) 601-8517
Mailing address
7511 LOCKMAN LN, BELTSVILLE, MD 20705-6310
(240) 601-8517
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R179880
MD
Other
Enumeration date
06/18/2024
Last updated
06/24/2024
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