Prince Ejindu, LPN
Licensed Practical Nurse in Hanover, MD. Individual provider (NPI-1).
NPI number1124773379
StatusActive
Last updated in NPPESFeb 16, 2022
Details
- NPI
- 1124773379
- Entity type
- Individual (NPI-1)
- Name
- Prince Ejindu
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 16, 2022
- Certification date
- Feb 16, 2022
- Last updated
- Feb 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LP37055 | MD | Yes |
Practice location
1410 Pangbourne WayHanover, MD 21076-1376
Phone 240-893-2868
Mailing address
1410 Pangbourne WayHanover, MD 21076-1376
Phone 240-893-2868
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