Individual
MINNIE NDEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6 MARKS MANOR CT, RANDALLSTOWN, MD 21133-1304
(443) 922-8963
(443) 272-6425
Mailing address
6 MARKS MANOR CT, RANDALLSTOWN, MD 21133-1304
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
132005
MD
363L00000X
Nurse Practitioner
Primary
F1215414
MD
Other
Enumeration date
01/04/2016
Last updated
07/08/2019
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