MR. CLEMENT C AZAGBA (NPI# 1891252284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891252284 |
| Entity Type | Individual |
| Full Name | MR. CLEMENT C AZAGBA |
| Practice Address |
306 Montgomery St Unit 2 Laurel MD 20707-4340 |
| Mailing Address |
306 Montgomery St Apt 2 Laurel MD 20707-4340 |
| Practice Telephone | 3015803498 |
| Mailing Telephone | 3015803498 |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
R4340 | MD | Nursing Service Providers |
| Street Address |
306 MONTGOMERY ST UNIT 2 |
| City | LAUREL |
| State | MD |
| Zip Code | 20707-4340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157156 | Mini'imah Wilson | Social Worker | 15041 Cherrywood Dr, Laurel, MD 20707 | 2020-08-31 |
| 1548893985 | Ernest Freeman | Clinic/Center | 367 Main St., Laurel, Laurel, MD 20707 | 2020-02-13 |
| 1538701859 | Family Health and Wellness Clinic LLC | Clinic/Center | 324 Main St. #523, Laurel, MD 20707 | 2019-10-09 |
| 1467018226 | Leena Daniel | Nurse Practitioner | 13 C Street, Suite D, Laurel, MD 20707 | 2019-05-16 |
| 1538723143 | Florence Okojie | Nurse Practitioner | 13 C St Ste G, Laurel, MD 20707 | 2019-04-29 |
| 1487148631 | Munsha Sidhu Chadha | Dentist | 595 Main St Ste 237, Laurel, MD 20707 | 2018-06-20 |
| 1568953370 | Carleen Graham Schwimmer | Clinical Neuropsychologist | Veterans Affairs War Related Illness & Injury (wriisc), 50 Irving Street Nw, Washington, MD 20707 | 2018-05-29 |
| 1043709637 | Bk Behavioral Health Center | Behavior Technician | 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707 | 2018-05-09 |
| 1053800839 | Bk Behaviorial Health Center | Substance Abuse Rehabilitation Facility | 14300 Cherry Lane Court, Suite 202-203, Laurel, MD 20707 | 2018-05-07 |
| 1316435795 | Laurel Pharmacy II LLC | Pharmacy | 14402 Baltimore Ave, Laurel, MD 20707 | 2018-05-01 |
| Find all providers in zip 20707 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144796236 | Erlande Pierresaint | Registered Nurse | 8315 Cherry Ln, Laurel, MD 20707-4830 | 2018-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417505207 | Victoria Agbar | Registered Nurse | 6704 Terra Alta Dr, Lanham, MD 20706-3748 | 2019-08-27 |
| 1063073351 | Caroline Lisk | Registered Nurse | 3338 Hollow Ct, Ellicott City, MD 21043-3485 | 2019-06-26 |
| 1699097246 | Reginald Orlanda Smith | Registered Nurse | 15705 Mahogany Cir Apt 103, Gaithersburg, MD 20878-4646 | 2010-02-24 |
| 1023088150 | Martha Jane Keener | Registered Nurse | 1221 E Churchville Rd, Cvs/minuteclinic, Bel Air, MD 21015 | 2006-01-23 |
| 1184224479 | Brennda Ann Tsuhako | Registered Nurse | 4301 Jones Bridge Rd, Bethesda, MD 20814-4799 | 2020-10-27 |
| 1104468081 | Michele Anne Mccomas | Registered Nurse | 2800 Kirk Ave, Baltimore, MD 21218-3647 | 2019-10-12 |
| 1992357198 | Global Health Medical Group LLC | Registered Nurse | 11125 Rockville Pike Ste 208, Rockville, MD 20852-3142 | 2019-07-09 |
| 1023344066 | Peace & Glory Manor, LLC | Registered Nurse | 3829 Kilburn Rd, Randallstown, MD 21133-4655 | 2009-10-27 |
| 1881834349 | Emma Wright | Registered Nurse | 10401 Hospital Dr, Suite 103, Clinton, MD 20735-3110 | 2009-02-24 |
| 1003076910 | Joanne Hill | Registered Nurse | 2480 Llewellyn Ave, Fort George G Meade, MD 20755-5800 | 2008-06-13 |
| Find all providers with the same taxonomy | ||||
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| 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.