Individual provider · NPI-1

Nora Nwakego Agajelu, CRNP

Nurse Practitioner, Adult Health · Glen Burnie, MD

NPI number1053589028

StatusActive

Last updated in NPPESFeb 21, 2018

Details

NPI: 1053589028
Entity type: Individual (NPI-1)
Name: Nora Nwakego Agajelu
Credential: CRNP
Sex: Female
Sole proprietor: No
Enumeration date: Feb 13, 2008
Last updated: Feb 21, 2018

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LA2200X	Nurse Practitioner, Adult Health	R174033	MD	Yes
163W00000X	Registered Nurse	R174033	MD
363LG0600X	Nurse Practitioner, Gerontology	R174033	MD

Practice location

85 Kindred Way
Apt 101
Glen Burnie, MD 21061-5246

Phone 410-553-6360 · Fax 410-553-6661

Mailing address

85 Kindred Way
Apt 101
Glen Burnie, MD 21061-5246

Phone 410-553-6360 · Fax 410-553-6661

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