Mbella, Bonaventure

Mbella, Bonaventure is an sole proprietor health care provider with primary practice located at 9811 Mallard Dr Ste 207 , Laurel MD 20708-3199. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Nursing Service Providers / Registered Nurse is his primary health care specialty. Mbella, Bonaventure can be contacted via phone (256) 417-7067.

Contact Information

Primary practice address
9811 Mallard Dr Ste 207 Laurel MD 20708-3199
Phone: (256) 417-7067
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X R196090 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X NP1019745 District of Columbia
Nursing Service Providers / Registered Nurse 163W00000X RN1019745 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R196090 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NP1019745 District of Columbia

Profile Details

NPI number 1548818750
LBN Legal business name Mbella, Bonaventure
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2019
Last updated Sep 3rd, 2023 - about last year

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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