Individual
PAUL EJIME IWERIEBOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 HOSPITAL RD, PRINCE FREDERICK, MD 20678-4017
(410) 535-4000
Mailing address
7250 PARKWAY DR STE 500, HANOVER, MD 21076-1343
(443) 949-0814
(443) 949-0825
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R179335
MD
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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