IndividualActive
Immanuel Joseph, RN
NPI 1932975638 · General Practice Registered Nurse · Laurel, MD
Provider details
- NPI number
- 1932975638
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- R180947 (MD)
Specialties & taxonomies
Nursing Service Providers
Practice location
8811 Sumner Grove Dr
Laurel, MD 20708-3533
Phone: (240) 355-3266
Approximate (ZIP-level) locationGet directions
Mailing address
8811 Sumner Grove Dr
Laurel, MD 20708-3533
Registry dates
- Enumerated
- 2023-12-04
- Last updated
- 2023-12-04
- Certified
- 2023-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.