Healthcare Provider Details

I. General information

NPI: 1659208726
Provider Name (Legal Business Name): BRIANDELA ADA'ANWI NEBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9006 WIPKEY CT
BOWIE MD
20720-3232
US

IV. Provider business mailing address

9006 WIPKEY CT
BOWIE MD
20720-3232
US

V. Phone/Fax

Practice location:
  • Phone: 301-433-5871
  • Fax:
Mailing address:
  • Phone: 301-433-5871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: