Individual
PHILOMENA ONWUEGBULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP FAMILY
Contact information
Practice address
13992 BALTIMORE AVE STE 200, LAUREL, MD 20707-5010
(240) 264-6704
Mailing address
7947 MONROVIA DR, HANOVER, MD 21076-1098
(410) 903-9948
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R129518
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R129518
—
MD
Enumeration date
08/10/2018
Last updated
08/10/2018
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