Carlson Igwacho, RN
Registered Nurse in Hanover, MD. Individual provider (NPI-1).
NPI number1699428136
StatusActive
Last updated in NPPESFeb 3, 2022
Details
- NPI
- 1699428136
- Entity type
- Individual (NPI-1)
- Name
- Mr. Carlson Igwacho
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 3, 2022
- Certification date
- Feb 3, 2022
- Last updated
- Feb 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | R214040 | MD | Yes |
Practice location
2104 Piney Branch Cir Apt 401Hanover, MD 21076-1836
Phone 240-350-2508
Mailing address
2104 Piney Branch Cir Apt 401Hanover, MD 21076-1836
Phone 240-350-2508
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