Individual
CONNY NGANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
10605 MERIDIAN HILL WAY, UPPER MARLBORO, MD 20772-4847
(319) 855-9253
Mailing address
10605 MERIDIAN HILL WAY, UPPER MARLBORO, MD 20772-4847
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1040603
DC
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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