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Individual

BRENDA O AYENSU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9692 NORFOLK AVE, LAUREL, MD 20723-1883
(240) 565-9796
Mailing address
9692 NORFOLK AVE, LAUREL, MD 20723-1883
(240) 565-9796

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R244751
MD
163WA2000X
Administrator Registered Nurse
R244751
MD
163WC2100X
Continence Care Registered Nurse
Primary
R244751
MD
163WD0400X
Diabetes Educator Registered Nurse
R244751
MD
163WG0600X
Gerontology Registered Nurse
R244751
MD
163WH0200X
Home Health Registered Nurse
R244751
MD
163WP0000X
Pain Management Registered Nurse
R244751
MD
163WP2201X
Ambulatory Care Registered Nurse
R244751
MD
364S00000X
Clinical Nurse Specialist
R244751
MD

Other

Enumeration date
09/30/2024
Last updated
09/30/2024
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