Provider Demographics
NPI:1740522366
Name:NDUBUISI, AKPA H (RN)
Entity type:Individual
Prefix:DR
First Name:AKPA
Middle Name:H
Last Name:NDUBUISI
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4007 MEADOW TRAIL LN
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20784-4606
Mailing Address - Country:US
Mailing Address - Phone:301-731-4075
Mailing Address - Fax:
Practice Address - Street 1:4007 MEADOW TRAIL LN
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20784-4606
Practice Address - Country:US
Practice Address - Phone:301-731-4075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-21
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR204669163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse