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Individual

FARAMADE O ERUANGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
7503 SURRATTS RD, CLINTON, MD 20735-3358
(301) 877-5528
Mailing address
4301 CONNECTICUT AVE NW STE 441, WASHINGTON, DC 20008-2368
(202) 882-6988

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R191529
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R191529
MD

Other

Enumeration date
04/11/2018
Last updated
03/22/2022
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