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4529 Necker Ave Nottingham MD 21236-2927 | |
(651) 470-0357 | |
Not Available |
Full Name | |
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Speciality | Nurse Anesthetist, Certified Registered |
Location | 4529 Necker Ave, Nottingham, Maryland |
Authorized Official Name and Position | David Mundia Mwaura (CRNA) |
Authorized Official Contact | 6514700357 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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4529 Necker Ave Nottingham MD 21236-2927 Ph: (651) 470-0357 | 4529 Necker Ave Nottingham MD 21236-2927 Ph: (651) 470-0357 |
NPI Number | 1003225020 |
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Provider Enumeration Date | 08/04/2014 |
Last Update Date | 08/21/2024 |
Medicare PECOS PAC ID | 5092081810 |
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Medicare Enrollment ID | O20171024000551 |
Identifier | Type | State | Issuer |
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1003225020 | NPI | - | NPPES |
Provider Name | David M Mwaura |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1235409491 PECOS PAC ID: 1850558511 Enrollment ID: I20120208000123 |
Provider Name | Chinweokwu Anadu |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1881277069 PECOS PAC ID: 8729482302 Enrollment ID: I20210804000139 |
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