Individual provider · Type 1 NPI

Ngum Avwontom, FNP, CRNP

Primary Care Nurse Practitioner · Randallstown, MD

NPI number 1972173904 Active

Practice location

5400 Old Court Rd
Randallstown, MD 21133-5100

Mailing address

6614 Windsor Mill Rd
Gwynn Oak, MD 21207-5381

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XR213556 (MD)

Primary Care Nurse Practitioner: Definition to come...

19 other providers at this address

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About NPI 1972173904

Ngum Avwontom, FNP, CRNP's National Provider Identifier is 1972173904, issued on Jun 30, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Randallstown, MD. The record was last updated on Aug 6, 2021.