Individual
EXODUS NZERUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
801 LAKE SHORE DR, BOWIE, MD 20721-2909
(240) 486-0744
Mailing address
801 LAKE SHORE DR, BOWIE, MD 20721-2909
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1028565
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028565
—
DC
Enumeration date
04/21/2020
Last updated
04/21/2020
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