MEDICARE: EMEFUA YVONNE CLAIRE NJUALEM RN

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R216096	MD
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	NP1037800	DC
3	363LF0000X	Family Nurse Practitioner	R216096	MD
4	163W00000X	Registered Nurse	RN1037800	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1649089285	OTHER	MD	NPI

General Provider Information

NPI Number	:	1073108197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMEFUA YVONNE CLAIRE NJUALEM RN

Provider Business Mailing Address
First Line	:	2200 DEFENSE HWY STE 100
Second Line	:
City	:	CROFTON
State	:	MD
Zip	:	21114-2458
Country	:	US
Telephone Number	:	240-429-2843
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 DEFENSE HWY STE 100
Second Line	:
City	:	CROFTON
State	:	MD
Zip	:	21114-2458
Country	:	US
Telephone Number	:	240-589-5219
Fax Number	:	301-560-8663

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

Provider Enumeration Date	:	03/02/2021
Last Update Date	:	03/02/2026

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