Healthcare Provider Details

I. General information

NPI: 1164359535
Provider Name (Legal Business Name): ELIZABETH NKAFU RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 ADRIANNE CT
RANDALLSTOWN MD
21133-4347
US

IV. Provider business mailing address

18 ADRIANNE CT
RANDALLSTOWN MD
21133-4347
US

V. Phone/Fax

Practice location:
  • Phone: 443-345-7072
  • Fax: 443-431-0210
Mailing address:
  • Phone: 443-345-7072
  • Fax: 443-431-0210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberR159225
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: