Mr. Mingo Dewayne Boards
Mr. Mingo Dewayne Boards is a Nurse Practitioner in Upper Marlboro, Maryland. Qualified in 2022, 4 years ago. Practices with Johns Hopkins University, a 2,855-clinician group and offers telehealth. Licensed in Maryland.
- Years since qualifying
- 4
- Licensed in
- MD
- In the registry since
- 2022
Practice location Address checks out
4305 Spring Foal CtUpper Marlboro, MD 20772-8326
Phone: (843) 601-7525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence R237193 (MD) |
|---|
Record details
| NPI number | 1821727702 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 7, 2022 |
| Last updated in NPPES | June 7, 2022 |
| Certification date | June 7, 2022 |
| Mailing address | 4305 Spring Foal Ct, Upper Marlboro, MD 20772-8326 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Johns Hopkins University — 2855 clinicians |
| Accepts Medicare assignment | Not indicated |
| Telehealth | Offers telehealth services |
| Practice locations | 6 on file with Medicare |
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