Individual
EVELYN OMOREGBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2003 DAVIDSONVILLE RD, CROFTON, MD 21114-1317
(301) 335-3941
Mailing address
14903 DENNINGTON DR, BOWIE, MD 20721-3277
(301) 335-3941
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R178660
MD
363LF0000X
Family Nurse Practitioner
RN1022101
DC
Other
Enumeration date
11/13/2013
Last updated
01/15/2018
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