Provider Demographics
NPI:1558145417
Name:NNADO, ADAEZE CONFIDENCE
Entity Type:Individual
Prefix:
First Name:ADAEZE
Middle Name:CONFIDENCE
Last Name:NNADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2809 GRESHAM WAY UNIT 303
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-3936
Mailing Address - Country:US
Mailing Address - Phone:443-939-1700
Mailing Address - Fax:
Practice Address - Street 1:2809 GRESHAM WAY UNIT 303
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-3936
Practice Address - Country:US
Practice Address - Phone:443-939-1700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRN1060855163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty