Individual
SUSSAN ONONAKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7350 VAN DUSEN RD STE 340, LAUREL, MD 20707-5264
(240) 423-2043
Mailing address
12203 LOCH LYNN CT, LAUREL, MD 20708-2409
(240) 423-2043
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R144853
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R144853
MD
Other
Enumeration date
02/24/2014
Last updated
04/12/2023
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