Dominic M Omwenga
Dominic M Omwenga is a Nurse Practitioner in Elkton, Maryland. Qualified in 2019, 7 years ago. Practices with Supportive Care of Maryland LLC, a 36-clinician group and accepts Medicare assignment. Licensed in Maryland.
- Years since qualifying
- 7
- Licensed in
- MD
- In the registry since
- 2020
Practice location Address checks out
106 Bow StElkton, MD 21921-5544
Phone: (302) 897-1066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence AC003032 (MD) |
|---|
Record details
| NPI number | 1275161408 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 1, 2020 |
| Last updated in NPPES | April 1, 2020 |
| Certification date | April 1, 2020 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Supportive Care Of Maryland Llc — 36 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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