Mr Bonaventure Mbella, in Laurel, MD

Mr Bonaventure Mbella, is a Registered Nurse based in Laurel, Maryland. Mr Bonaventure Mbella is licensed to practice in District Of Columbia (license number RN1019745) and his current practice location is 9811 Mallard Dr Ste 207, Laurel, Maryland. He can be reached at his office (for appointments etc.) via phone at (256) 417-7067.

NPI number for Mr Bonaventure Mbella is 1548818750 and his current mailing address is 12513 Woodsong Ln, Bowie, Maryland. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548818750.

Contact Information

	Mr Bonaventure Mbella,
	9811 Mallard Dr Ste 207, Laurel, MD 20708-3199
	(256) 417-7067
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Bonaventure Mbella
Gender	Male
Speciality	Registered Nurse
Location	9811 Mallard Dr Ste 207, Laurel, Maryland
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1548818750
Provider Enumeration Date: 08/30/2019
Last Update Date: 09/03/2023

Medical Identifiers

Medical identifiers for Mr Bonaventure Mbella such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548818750	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	R196090 (Maryland)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	NP1019745 (District Of Columbia)	Secondary
163W00000X	Registered Nurse	RN1019745 (District Of Columbia)	Primary
363LA2200X	Nurse Practitioner - Adult Health	R196090 (Maryland)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	NP1019745 (District Of Columbia)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Bonaventure Mbella is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Bonaventure Mbella, 12513 Woodsong Ln, Bowie, MD 20721-4225 Ph: (256) 417-7067	Mr Bonaventure Mbella, 9811 Mallard Dr Ste 207, Laurel, MD 20708-3199 Ph: (256) 417-7067

Reviews and Comments

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Mr Bonaventure Mbella, - Registered Nurse in Laurel, MD