NPI 1497318182

Maxwell Mbah

Practitioner Nursing Home Administrator Brooklyn, MD

Practice location

Address: 731 Sunnyfield Ln, Brooklyn, MD 21225-3364
Phone: (954) 309-4017
Fax: (410) 636-6029

Registered specialties (2)

Nursing Home Administrator Primary

Nursing Service Related Providers Taxonomy 376G00000X

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Licensed Practical Nurse

Nursing Service Providers Taxonomy 164W00000X Licence LP51025 (MD)

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Registry record

NPI: 1497318182
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Apr 2019
Record last updated: 6 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.