Individual
OPHILIA N. MBAH X
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6856 EASTERN AVE NW, WASHINGTON, DC 20012
(202) 545-6980
Mailing address
4703 OLD SOPER RD, SUITE R-1, CAMP SPRINGS, MD 20746
(240) 249-0989
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1028515
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R205445
MD
Other
Enumeration date
09/02/2015
Last updated
05/10/2019
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