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Edith E Onyenemezu

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

6809 Woodstream Dr, Lanham, MD 20706-2125

PECOS Enrollment

This provider is enrolled in PECOS as EDITH ONYENEMEZU.

Based on the most recent information from CMS, provider Edith E Onyenemezu is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 10:04 AM.

Profile Details

Provider ID
1164070280
Provider Type
Individual
Full Name
Onyenemezu, Edith E
Gender
Female

Sole Proprietor
Yes
Enumeration Date
9/2/2019
Last Updated
7/28/2020

Contact Information

Practice Location

6809 Woodstream Dr, Lanham, MD 20706-2125

(301) 806-7865

Unlisted Fax

Mailing Location

6809 Woodstream Dr, Lanham, MD 20706-2125

(301) 806-7865

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LP0808X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License R195539 Maryland

Edith E Onyenemezu

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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Description

License

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