Individual
MRS. OLIVIA MBUANOBE MBAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN NP
Contact information
Practice address
7500 HANOVER PKWY STE 202, GREENBELT, MD 20770-2009
(301) 289-7722
(301) 441-2518
Mailing address
1705 E WEST HWY APT 314, SILVER SPRING, MD 20910-3061
(301) 257-2314
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R129347
MD
363LF0000X
Family Nurse Practitioner
Primary
R129347
MD
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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