Emade Ebah Edongole
Individual provider Active NPI Registered Nurse · Severn, MD
NPI 1497189591 · NPPES record last updated Aug 25, 2025
Key facts
- NPI
- 1497189591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN500327792 (DC)
- Practice address
- 1311 Sonoma LN
Severn, MD 21144-2689 - Phone
- (240) 667-6202
- NPI assigned
- Aug 26, 2013
- 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 |
|---|---|---|---|
| RN500327792 | DC | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | |||
| Registered Nurse | 163W00000X | RN500327792 | DC | Yes |
Addresses
Primary practice location
1311 Sonoma LN
Severn, MD 21144-2689
Mailing address
1311 Sonoma LN
Severn, MD 21144-2689
Phone (240) 667-6202
Other providers in Severn, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2025. 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.