Individual
MRS. CHARLOTTE EBONG NDEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-FAMILY
Contact information
Practice address
3003 HOSPITAL DR, CHEVERLY, MD 20785-1194
(301) 583-3700
(301) 583-3735
Mailing address
4211 FALCONWOOD PL, BURTONSVILLE, MD 20866-1300
(301) 325-2008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R227510
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R227510
STATE LICENSE
MD
Enumeration date
11/03/2017
Last updated
02/28/2019
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