Rachel Agwa, RN
Individual provider Active NPI Home Health Registered Nurse · Severn, MD
NPI 1942010103 · NPPES record last updated Jan 9, 2025
Key facts
- NPI
- 1942010103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- RN188227 (MD)
- Practice address
- 7964 Jasons Landing Way
Severn, MD 21144-2664 - Phone
- (240) 432-1236
- NPI assigned
- Jan 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN188227 | MD | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse |
163WW0000X | RN188227 | MD | |
| Home Health Registered Nurse |
163WH0200X | RN188227 | MD | Yes |
Addresses
Primary practice location
7964 Jasons Landing Way
Severn, MD 21144-2664
Mailing address
7964 Jasons Landing Way
Severn, MD 21144-2664
Phone (240) 432-1236
Other names
- Rachel Omema
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- Taiwo Ajayi
- Henry Akinyemi
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- Donnia H Alexander
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All providers in Severn, MD · Home Health Registered Nurse in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 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.