Individual
MRS. NNEKA BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
13806 SHANNOCK LN, UPPER MARLBORO, MD 20774-8468
(202) 716-2978
Mailing address
13806 SHANNOCK LN, UPPER MARLBORO, MD 20774-8468
(202) 716-2978
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
188563
MD
Other
Enumeration date
08/08/2018
Last updated
05/28/2021
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