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Individual

CLAVE NONYE NWADIKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP-FAMILY

Contact information

Practice address
9603 TOUCAN DR, UPPER MARLBORO, MD 20772-4780
(240) 705-0967
Mailing address
9603 TOUCAN DR, UPPER MARLBORO, MD 20772-4780
(240) 705-0967

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R216097
MD
363LF0000X
Family Nurse Practitioner
Primary
R216097
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R216097
MARYLAND BOARD OR NURSING
MD
Enumeration date
08/23/2021
Last updated
08/23/2021
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