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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BONAVENTURE MBELLA

Active Sole Proprietor

MR. BONAVENTURE MBELLA is a Gerontological Nurse Practitioner healthcare provider located in BOWIE, Maryland. NPI 1548818750 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · BOWIE, MD

Registration Details

NPI Number
1548818750
Provider Type
Individual
Gender
Male
NPI Issued
Aug 30, 2019 (6.9218928108 yrs)
Last Updated
May 13, 2025
Licenses
RN1019745 (DC)
R196090 (MD)
R196090 (MD)
NP1019745 (DC)
NP1019745 (DC)
Sole Proprietor
Yes

Practice Information

Address
12513 WOODSONG LN
BOWIE, MD, 207214225
Browse MD providers · Browse ZIP 20721
Phone
2564177067
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X
Additional Specialty
Nurse Practitioner

Other Gerontological Nurse Practitioner Providers in BOWIE, MD

Name Credential NPI
MS. RHONDA GALL 1851795868
TIERRA SHANEL RICHARDSON 1740796945
SIDYA MAELEE THOMAS NP 1083372577
JOCELYN THOMAS 1861104010
DR. DANALEE H. A. ROBB AGPCNP 1114708864
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.