Individual
NGETLA MBONUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC
Contact information
Practice address
110 PAINTERS MILL RD SUITE 101, OWINGS MILLS, MD 21117-5531
(443) 615-6840
Mailing address
3702 GUINEVERE TRCE, DOUGLASVILLE, GA 30135-7766
(443) 615-6840
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AC007077
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN11026442
FL
Other
Enumeration date
01/23/2024
Last updated
11/11/2024
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