Individual
FAVOUR OFOEGBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5457 TWIN KNOLLS RD STE 300, COLUMBIA, MD 21045-3296
(410) 230-1830
(410) 230-1830
Mailing address
5457 TWIN KNOLLS RD STE 300, COLUMBIA, MD 21045-3296
(410) 230-1830
(410) 230-1830
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1021770
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R183067
MD
Other
Enumeration date
03/05/2013
Last updated
04/30/2025
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