MEDICARE: MARYAM BARUWA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN500021976	DC

General Provider Information

NPI Number	:	1053274894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARYAM BARUWA

Provider Business Mailing Address
First Line	:	1110 CAPE TEAL CT
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-7082
Country	:	US
Telephone Number	:	240-486-7957
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 CAPE TEAL CT
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-7082
Country	:	US
Telephone Number	:	240-486-7957
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “ MARYAM BARUWA ” Practice Location

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