Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CLEMENT C AZAGBA
ActiveMR. CLEMENT C AZAGBA is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in LAUREL, Maryland. NPI 1891252284 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · LAUREL, MD
Registration Details
- NPI Number
- 1891252284
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 21, 2019 (7.5075605409645 yrs)
- Last Updated
- Feb 21, 2019
- License
-
R4340 (MD)
Practice Information
- Address
-
306 MONTGOMERY ST UNIT 2LAUREL, MD, 207074340Browse MD providers · Browse ZIP 20707
- Phone
- 3015803498
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
163WP2201X
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.