Provider Demographics
NPI:1902327406
Name:MUWUD, NASMAR NASMAR
Entity Type:Individual
Prefix:
First Name:NASMAR
Middle Name:NASMAR
Last Name:MUWUD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TIFUH
Other - Middle Name:NASMAR
Other - Last Name:MUWUD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8623 ANNAPOLIS RD APT 102
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-3106
Mailing Address - Country:US
Mailing Address - Phone:240-714-9016
Mailing Address - Fax:
Practice Address - Street 1:8623 ANNAPOLIS RD APT 102
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-3106
Practice Address - Country:US
Practice Address - Phone:240-714-9016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC12845374U00000X
DCRN500008994163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No374U00000XNursing Service Related ProvidersHome Health Aide