NWAMAKA F EZIKE


Address: 913 Lake Shore Dr, Bowie, MD 20721-2902
Phone: 2022719180

NWAMAKA F EZIKE (NPI# 1740805613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740805613
Entity Type Individual
Full Name NWAMAKA F EZIKE
Practice Address 913 Lake Shore Dr
Bowie
MD 20721-2902
Mailing Address 3611 Branch Ave
Temple Hills
MD 20748-1242
Practice Telephone 2022719180
Mailing Telephone 3039090123
Enumeration Date 2020-06-16
Last Update Date 2020-06-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
RN1014552 DC Nursing Service Providers
N 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
R182741 MD Nursing Service Providers

Office Location

Street Address 913 LAKE SHORE DR
City BOWIE
State MD
Zip Code 20721-2902

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NPI Name Taxonomy Address Enumeration
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1982121463 Awal A Aziz Specialist/Technologist, Other 14303 Duncannon Court, Bowie, MD 20721 2017-08-25
1851841555 Emmanuel K Tanyi Home Health Aide 10971 Spyglass Hill, Bowie, MD 20721 2016-10-06
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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1679107478 Ellen Dieujuste Registered Nurse 3719 34th St, Mount Rainier, MD 20712-2149 2020-03-02
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1770128712 Keith J Reilley Registered Nurse 101 W Read St Unit B03, Baltimore, MD 21201-4906 2019-11-13
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Competitor

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City BOWIE
Zip Code 20721

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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