Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AGNES M MPANJA, CWON
Active Sole ProprietorAGNES M MPANJA, CWON is a Psych/Mental Health, Child & Adolescent Nurse healthcare provider located in FREDERICK, Maryland. NPI 1255174470 is currently active in the NPPES registry. Verify at CMS.
Psych/Mental Health, Child & Adolescent Nurse · FREDERICK, MD
Registration Details
- NPI Number
- 1255174470
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 15, 2024 (2.211126624367 yrs)
- Last Updated
- Jun 21, 2024
- License
-
R182828 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6664 BALLENGER RUN BLVDFREDERICK, MD, 217037918Browse MD providers · Browse ZIP 21703
- Phone
- 2403057922
- Primary Specialty
-
Psych/Mental Health, Child & Adolescent Nurse
163WX1500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.