Individual
JOHN KAMAU NGUGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP-BC
Contact information
Practice address
1314 BEDFORD AVE STE 113, PIKESVILLE, MD 21208-3737
(480) 877-8780
(443) 732-0054
Mailing address
PO BOX 72098, ROSEDALE, MD 21237-8098
(480) 878-7806
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R179125
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
964007000
—
MD
Enumeration date
12/10/2014
Last updated
02/08/2019
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