Individual
CHIKA NWOLISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
13012 SILVER MAPLE CT, BOWIE, MD 20715-1932
(301) 758-7587
Mailing address
13012 SILVER MAPLE CT, BOWIE, MD 20715-1932
(301) 758-7587
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R164648
MD
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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