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Siphra Ngum Mukoro
Psychiatric/Mental Health Nurse Practitioner in Laurel, Maryland
NPI 1477289619

Siphra Ngum Mukoro is a Psychiatric/Mental Health Nurse Practitioner based in New Market, MD and is specialized in Psychiatric/Mental Health. Siphra Ngum Mukoro practices in Laurel, MD. The NPI Number for Siphra Ngum Mukoro is 1477289619 and holds a License No. R223264 (Maryland).

The current practice location address for Siphra Ngum Mukoro is 13994 Baltimore Ave, Laurel, MD and can be reached out via phone at 301-477-2128.

Location: 13994 Baltimore Ave, Laurel, MD, 21774-6757
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477289619
Provider Name
Siphra Ngum Mukoro
Credential
Provider Entity Type
Individual
Gender
Female
Address
13994 Baltimore Ave, Laurel, MD, 21774-6757
Phone Number
301-477-2128
Fax Number
Provider Enumeration Date
07/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13994 Baltimore Ave
City
Laurel
State
Maryland
Zip
20707-5087
Phone Number
301-477-2128
Fax Number
person
Provider Business Mailing Address Details
Address
13994 Baltimore Ave
City
Laurel
State
Maryland
Zip
20707-5087
Phone Number
301-477-2128
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
R223264 (Maryland)
Definition
Definition to come...
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