Individual
VANESSA BINWI NGWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11407 VILLA CT, UPPER MARLBORO, MD 20774-5702
(240) 706-6054
Mailing address
11407 VILLA CT, UPPER MARLBORO, MD 20774-5702
(240) 706-6054
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
N200839089445
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N200839089445
—
MD
Enumeration date
04/07/2021
Last updated
04/07/2021
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