Individual
BEATRICE MOUGA KOUEMOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1040 PARK AVE STE 200, BALTIMORE, MD 21201-5634
(667) 400-0223
(443) 738-0301
Mailing address
1040 PARK AVE STE 200, BALTIMORE, MD 21201-5634
(667) 400-0223
(443) 738-0301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
F346954-01
NY
207Q00000X
Family Medicine Physician
Primary
R210351
MD
Other
Enumeration date
10/02/2019
Last updated
10/06/2025
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