Healthcare Provider Details

I. General information

NPI: 1831609130
Provider Name (Legal Business Name): MARIAMA KAMARA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2017
Last Update Date: 07/27/2025
Certification Date: 07/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3811 MINN AVE NE
WASHINGTON DC
20019-2660
US

IV. Provider business mailing address

4001 WARNER AVE APT B7
HYATTSVILLE MD
20784-1957
US

V. Phone/Fax

Practice location:
  • Phone: 202-239-2666
  • Fax:
Mailing address:
  • Phone: 240-408-2838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN500024747
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA13127
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN50024747
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: