Individual
DR. ELIZABETH EBEI NDIKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP/ FNP-C, PMHNP-
Contact information
Practice address
14333 LAUREL BOWIE RD STE 204, LAUREL, MD 20708-1179
(240) 241-4989
(301) 477-1976
Mailing address
14333 LAUREL BOWIE RD STE 204, LAUREL, MD 20708-1179
(240) 241-4989
(301) 477-1976
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R151225
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R151225
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
666184000
—
MD
Enumeration date
08/04/2015
Last updated
09/13/2023
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