Nurse Practitioner
Mr. MINGO BOARDS
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1821727702 · enumerated 2022-06-07 · record updated 2022-06-07. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 4305 SPRING FOAL CT, UPPER MARLBORO, MD, 20772-8326 (843) 601-7525 Google Maps Apple Maps OpenStreetMap
- Practice location 4305 SPRING FOAL CT, UPPER MARLBORO, MD, 20772-8326 (843) 601-7525 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner 363L00000X · Primary · License R237193 MD
In this directory
Locations and evidence
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Practice location
UPPER MARLBORO, MD, 207728326
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.