MUNI GWANYEBIT (NPI# 1548871106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548871106 |
| Entity Type | Individual |
| Full Name | MUNI GWANYEBIT |
| Practice Address |
13994 Baltimore Ave Ste 102 Laurel MD 20707-5087 |
| Mailing Address |
8605 Otter Creek Rd Laurel MD 20724-1985 |
| Practice Telephone | 2404912868 |
| Mailing Telephone | 3012046086 |
| Enumeration Date | 2020-08-16 |
| Last Update Date | 2020-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R208398 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13994 BALTIMORE AVE STE 102 |
| City | LAUREL |
| State | MD |
| Zip Code | 20707-5087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063955854 | Bridget J Ntungwen | Registered Nurse | 13994 Baltimore Ave Ste 102, Laurel, MD 20707-5087 | 2016-11-28 |
| 1376198697 | Momoh Makieu | Nurse Practitioner | 13994 Baltimore Ave Ste 102, Laurel, MD 20707-5087 | 2019-08-04 |
| 1164990818 | Prime Behavioral Health LLC | Clinic/Center | 13994 Baltimore Ave Ste 102, Laurel, MD 20707-5087 | 2018-11-10 |
| 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 | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364814 | Adedoyin Sobowale | Nurse Practitioner | 7701 Beall Rd, Laurel, MD 20707-3300 | 2020-07-31 |
| 1003437377 | Judith Tangi | Nurse Practitioner | 8125 Mallard Shore Dr, Laurel, MD 20724-2967 | 2020-04-28 |
| 1922664796 | Maryrose Otugo | Nurse Practitioner | 14301 Wilshire Ct, Laurel, MD 20707-9512 | 2019-05-16 |
| 1316404353 | Maria Neh Tancho | Nurse Practitioner | 13715 Oaklands Manor Dr, Laurel, MD 20708-1430 | 2019-02-26 |
| 1588901946 | Mary Nongndeh Zelio | Nurse Practitioner | 3573 Fort Meade Rd, Laurel, MD 20724-2015 | 2013-01-04 |
| 1093075731 | Nadine Carole Missiet Fogoum | Nurse Practitioner | 8625 Savannah River Rd, Laurel, MD 20724-1956 | 2012-05-28 |
| 1649573346 | Leighton Kennedy | Nurse Practitioner | 8101 Sandy Spring Rd Ste 250, Laurel, MD 20707-3527 | 2010-12-19 |
| 1780816553 | Janet Powell Mcmillan | Nurse Practitioner | 69 Watertank Rd, Laurel, MS 39443-2954 | 2009-08-12 |
| 1487260584 | Rose Godwin Support Services, Inc | Nurse Practitioner | 13671 Baltimore Ave, Laurel, MD 20707-5096 | 2020-09-23 |
| 1790393056 | Md Telepsychiatric Center, L.L.C. | Nurse Practitioner | 13807 Clarkwood Ln, Laurel, MD 20707-9437 | 2020-07-22 |
| Find all providers in LAUREL | ||||
Please comment or provide details below to improve the information on MUNI GWANYEBIT.
| 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.