Healthcare Provider Details

I. General information

NPI: 1538016860
Provider Name (Legal Business Name): BEYENE EDO EDESSA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 03/16/2026
Certification Date: 03/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 HALIFAX PL
UPPER MARLBORO MD
20774-2158
US

IV. Provider business mailing address

607 HALIFAX PL
UPPER MARLBORO MD
20774-2158
US

V. Phone/Fax

Practice location:
  • Phone: 571-274-8291
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR224494
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: