Healthcare Provider Details

I. General information

NPI: 1073108197
Provider Name (Legal Business Name): EMEFUA YVONNE CLAIRE NJUALEM RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2021
Last Update Date: 12/14/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 DEFENSE HWY STE 100
CROFTON MD
21114-2458
US

IV. Provider business mailing address

2200 DEFENSE HWY STE 100
CROFTON MD
21114-2458
US

V. Phone/Fax

Practice location:
  • Phone: 240-589-5219
  • Fax: 301-560-8663
Mailing address:
  • Phone: 240-429-2843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR216096
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNP1037800
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN1037800
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: