Mariam Angel Wound Care LLC

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

MARIAM ANGEL WOUND CARE LLC

Practice address

416 Meadow Creek Dr
Bowie, MD 20716-3584

Phone

(202) 629-8587

NPI assigned

Sep 7, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ebidu Deen

Title

Owner

Phone

(202) 629-8587

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788739200000",
    "number": "1386553048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 MEADOW CREEK DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 MEADOW CREEK DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163584",
            "telephone_number": "202-629-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAM ANGEL WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A",
        "authorized_official_last_name": "DEEN",
        "authorized_official_first_name": "EBIDU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-629-8587"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc G. Geballa, D.D.S.
• Napoleon C Marcelo, M.D.
• Tiffany March
• Cecilia Barbara Marfo
• Sarah Catherine Margarida, LCSW-C
• Conlan Marks
• Celette Marshall, LMSW
• Latasha Marshall, PHARM.D
• Nodia Marshall, M.ED., LCPC, LPC
• Wayne T Marshall, LCPC

• Licensed Practical Nurse in Bowie, MD
• Providers in Bowie, MD by specialty
• Licensed Practical Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.