Ethelaura Care Clinics LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ETHELAURA CARE CLINICS LLC

Practice address

12530 Fairwood Pkwy Ste 102-307
Bowie, MD 20720-6356

Phone

(301) 728-7200

NPI assigned

Jun 18, 2025

Last updated

Sep 1, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eronmwon Yvonne OkonjoNPI 1447551072

Title

Practice Manager

Phone

(301) 728-7200

Specialties & licenses 1

Addresses

Tax ID family

Ethelaura Care Clinics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ethelaura Care Clinics LLC

  • Clinic/Center
  • Bowie, MD
  • NPI 1154218543
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eronmwon Yvonne Okonjo, CRNP

  • Nurse Practitioner
  • Bowie, MD
  • NPI 1447551072
  NPD Authorized official

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756684800000",
    "number": "1770470254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12530 FAIRWOOD PKWY STE 102-307",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207206356",
            "telephone_number": "301-728-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12530 FAIRWOOD PKWY STE 102-307",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207206356",
            "telephone_number": "301-728-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHELAURA CARE CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A",
        "authorized_official_last_name": "OKONJO",
        "authorized_official_first_name": "ERONMWON",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "301-728-7200"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Asong Esunge
• Et Home Health Agency
• Judith Timbui Eta
• Felix F. Etebom, BS BSPHARM
• Ethelaura Care Clinics LLC
• Alemawung Abondem Etiendem
• Lerahzoah Etiendem
• Valentine B Etiendem
• Stephanie Etienne, LMSW
• Linda S Etih

• Family Nurse Practitioner in Bowie, MD
• Providers in Bowie, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.