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

MISS DESTINY NIA JUNIOR, LPN

Active

MISS DESTINY NIA JUNIOR, LPN is a Licensed Practical Nurse healthcare provider located in GWYNN OAK, Maryland. NPI 1588164776 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · GWYNN OAK, MD

Registration Details

NPI Number
1588164776
Provider Type
Individual
Gender
Female
NPI Issued
Feb 14, 2018 (8.4883795332501 yrs)
Last Updated
Feb 14, 2018
License
LP45111 (MD)

Practice Information

Address
4801 LIBERTY HEIGHTS AVE
GWYNN OAK, MD, 212077157
Browse MD providers · Browse ZIP 21207
Phone
4107334636
Primary Specialty
Licensed Practical Nurse
164W00000X
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.