Provider Demographics
NPI:1972859619
Name:MUONEKE, PAULINE UZOAMAKA
Entity Type:Individual
Prefix:MRS
First Name:PAULINE
Middle Name:UZOAMAKA
Last Name:MUONEKE
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 1:9831 GREENBELT RD STE 102
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-6211
Mailing Address - Country:US
Mailing Address - Phone:301-552-4100
Mailing Address - Fax:301-552-1700
Practice Address - Street 1:9831 GREENBELT RD STE 102
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-6211
Practice Address - Country:US
Practice Address - Phone:301-552-4100
Practice Address - Fax:301-552-1700
Is Sole Proprietor?:No
Enumeration Date:2012-07-31
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR149303363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology