| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Electa Awanga | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | License No: R175937 | [sources] | |||
| First name | Electa | [sources] | |||
| Last name | Awanga | [sources] | |||
| NPI | 1598255614 | [sources] | |||
| Sector | CRNP · Nurse Practitioner | [sources] | |||
| Address | 5442 EAGLE OWL CT, WALDORF, MD 20601-0000 · Hanover, MI | [sources] | |||
| Last change | Last processed | First seen | |||
Providers who have been terminated for cause from Michigan's Medicaid program.
United States of America · MDHHS
Medical providers deemed ineligible to participate in Maryland's Medicaid program.
United States of America · MDH
us-medmd-aa173ee1e868e258f2a4a6ca5abc81db651238b1 · us-medmi-c289485b3af50315f4695762f88ec0eabaf984faFor experts: raw data explorer
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| United States | Maryland Department of Health | - | - |