Individual
SHARIFA BAGONZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5500 KNOLL NORTH DR STE 310, COLUMBIA, MD 21045-2363
(240) 747-7785
Mailing address
8413 WINDING TRL, LAUREL, MD 20724-1435
(240) 747-7785
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R196144
MD
Other
Enumeration date
08/22/2016
Last updated
02/19/2026
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