Individual
CHINYENUM MAUREEN OTUYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4905 FAITH CROSSING CT, TEMPLE HILLS, MD 20748-5340
(240) 476-3951
Mailing address
901 D ST SW, WASHINGTON, DC 20024-2169
(240) 476-3951
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R203670
MD
363LG0600X
Gerontology Nurse Practitioner
Primary
R203670
MD
Other
Enumeration date
07/03/2019
Last updated
03/08/2021
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