OSEREME NORA AGBOIFO


Address: 200 Ejoppa Rd Suite 106, Townson, MD 21286
Phone: 4103370007

OSEREME NORA AGBOIFO (NPI# 1750989042) 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) 1750989042
Entity Type Individual
Full Name OSEREME NORA AGBOIFO
Credential NP
Practice Address 200 Ejoppa Rd Suite 106
Townson
MD 21286
Mailing Address 1422 Service Berry Way
Odenton
MD 21113-6052
Practice Telephone 4103370007
Mailing Telephone 8326069675
Enumeration Date 2020-10-09
Last Update Date 2020-10-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
R197691 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 200 EJOPPA RD SUITE 106
City TOWNSON
State MD
Zip Code 21286

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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 TOWNSON
Zip Code 21286

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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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