Mbella, Bonaventure

Mbella, Bonaventure is an sole proprietor health care provider with primary practice located at 12513 Woodsong Ln , Bowie MD 20721-4225. He recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is his primary health care specialty. Mbella, Bonaventure can be contacted via phone (256) 417-7067.

Contact Information

Primary practice address
12513 Woodsong Ln Bowie MD 20721-4225
Phone: (256) 417-7067
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN1019745 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R196090 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R196090 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NP1019745 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X NP1019745 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X R196090 Maryland

Profile Details

NPI number 1548818750
LBN Legal business name Mbella, Bonaventure
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2019
Last updated May 13th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers