| Irene Bwete-mugyenzi, | |
|
4200 Altamont Pl, White Plains, MD 20695-3052 | |
| (301) 645-2774 | |
| Not Available |
| Full Name | Irene Bwete-mugyenzi |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4200 Altamont Pl, White Plains, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538734579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R202575 (Maryland) | Primary |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Irene Bwete-mugyenzi, 11306 Wildmeadows St, Waldorf, MD 20601-2684 Ph: (301) 769-1027 | Irene Bwete-mugyenzi, 4200 Altamont Pl, White Plains, MD 20695-3052 Ph: (301) 645-2774 |
Karen D Darden, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4200 Altamont Pl, White Plains, MD 20695 Phone: 866-389-2727 | |
Michelle Lorenzo Diaz, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4475 Regency Pl Ste 303, White Plains, MD 20695 Phone: 301-645-3420 Fax: 301-751-7923 | |
Tracey Royer, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4200 Altamont Pl, White Plains, MD 20695 Phone: 866-389-2727 Fax: 401-652-2184 | |
Karla Washington, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4255 Altamont Pl Ste 301, White Plains, MD 20695 Phone: 301-645-1781 | |
Jordana Dalila Baez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5010 Regency Pl Ste 301, White Plains, MD 20695 Phone: 301-609-4964 | |
Adora Nancy Bosah, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5010 Regency Pl, White Plains, MD 20695 Phone: 240-427-3554 | |
Je'rae Areona Mcdaniel, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4470 Regency Pl Ste 106, White Plains, MD 20695 Phone: 240-252-2140 |