Individual
PHILOMENA ODEGUA AIGBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1001 YORK RD, TOWSON, MD 21204-2516
(757) 270-3846
Mailing address
7805 DOE RIDGE DR, BALTIMORE, MD 21244-2016
(757) 270-3846
(410) 655-2590
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024165965
VA
363LF0000X
Family Nurse Practitioner
Primary
R185003
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010060893
—
VA
Enumeration date
08/01/2006
Last updated
12/01/2009
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