CLEMENT MBANEFO EFOBI


Address: 810 5th St Nw, Washington, DC 20001-2622
Phone: 2027335378

CLEMENT MBANEFO EFOBI (NPI# 1952943037) 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) 1952943037
Entity Type Individual
Full Name CLEMENT MBANEFO EFOBI
Credential APRN
Practice Address 810 5th St Nw
Washington
DC 20001-2622
Mailing Address 11304 Springpark Ct
Glenn Dale
MD 20769-9611
Practice Telephone 2027335378
Mailing Telephone 3014643787
Enumeration Date 2019-10-10
Last Update Date 2019-10-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
R240326 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 810 5TH ST NW
City WASHINGTON
State DC
Zip Code 20001-2622

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City WASHINGTON
Zip Code 20001

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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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