Provider Demographics
NPI:1336984483
Name:MUMA, CLAUDETTE NGUM (RN)
Entity type:Individual
Prefix:
First Name:CLAUDETTE
Middle Name:NGUM
Last Name:MUMA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6905 DONACHIE RD APT G
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21239-1105
Mailing Address - Country:US
Mailing Address - Phone:682-221-7635
Mailing Address - Fax:
Practice Address - Street 1:6905 DONACHIE RD APT G
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21239-1105
Practice Address - Country:US
Practice Address - Phone:682-221-7635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-29
Last Update Date:2024-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR254967163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse