Eyerusalem Daniel Abdeta, NURSE PRACTITIONER
Individual provider Active NPI Acute Care Nurse Practitioner · Greenbelt, MD
NPI 1386450583 · NPPES record last updated Dec 4, 2024
Key facts
- NPI
- 1386450583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 2024054913 (MD)
- Practice address
- 8268 Miner St
Greenbelt, MD 20770 - Phone
- (612) 244-9329
- NPI assigned
- Dec 4, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024054913 | MD | MD | Acute Care Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 2024054913 | MD | Yes |
Addresses
Primary practice location
8268 Miner St
Greenbelt, MD 20770
Mailing address
8268 Miner St
Greenbelt, MD 20770
Phone (612) 244-9329
Other providers in Greenbelt, MD
- Aau Greenbelt ASC LLC
- Christina Abange
- Niguse Aragaw Abate
- Hiba Abbasi
- Fadeke Abbey
- Wehteba Buma Abiba
- Perpetua Abongnelah
- Tamajung Abongwa Stanley
- Atahsirri Abongwa
- Zewdu Mengesha Abraha
All providers in Greenbelt, MD · Acute Care Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.