Ibanga, Emem A

Ibanga, Emem A is an individual health care provider with primary practice located at 5022 Campbell Blvd , Nottingham MD 21236-4969. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ibanga, Emem A can be contacted via phone (443) 442-1568.

Contact Information

Primary practice address
5022 Campbell Blvd Nottingham MD 21236-4969
Phone: (443) 442-1568
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R156407 Maryland

Profile Details

NPI number 1902466451
LBN Legal business name Ibanga, Emem A
Credentials CRNP-PMH
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2019
Last updated Jun 17th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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