Individual
MR. BONAVENTURE MBELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12513 WOODSONG LN, BOWIE, MD 20721-4225
(256) 417-7067
Mailing address
12513 WOODSONG LN, BOWIE, MD 20721-4225
(256) 417-7067
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1019745
DC
363L00000X
Nurse Practitioner
R196090
MD
363LA2200X
Adult Health Nurse Practitioner
NP1019745
DC
363LA2200X
Adult Health Nurse Practitioner
R196090
MD
363LG0600X
Gerontology Nurse Practitioner
NP1019745
DC
363LG0600X
Gerontology Nurse Practitioner
Primary
R196090
MD
Other
Enumeration date
08/30/2019
Last updated
05/13/2025
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