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Individual

MS. REGINA C EBUWEI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-5159
(202) 877-8118
Mailing address
110 IRVING ST NW, EAST BUILDING, WASHINGTON, DC 20010-3017
(202) 877-5159
(202) 877-8118

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0001148406
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011915892
MEDICARE
DC
Enumeration date
11/22/2006
Last updated
11/21/2008
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