Provider Demographics
NPI:1376397505
Name:NJEI, WALTERS MBANWEI
Entity Type:Individual
Prefix:
First Name:WALTERS
Middle Name:MBANWEI
Last Name:NJEI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6419 JODIE ST
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-3633
Mailing Address - Country:US
Mailing Address - Phone:301-809-7229
Mailing Address - Fax:
Practice Address - Street 1:6419 JODIE ST
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-3633
Practice Address - Country:US
Practice Address - Phone:301-809-7229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide