Healthcare Provider Details

I. General information

NPI: 1760343248
Provider Name (Legal Business Name): NABIA HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 POST OFFICE RD STE 101
WALDORF MD
20602-2738
US

IV. Provider business mailing address

9905 WENZEL LN
FORT WASHINGTON MD
20744-5756
US

V. Phone/Fax

Practice location:
  • Phone: 240-472-0583
  • Fax:
Mailing address:
  • Phone: 240-472-0583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. NADEGE DJEUKUI
Title or Position: NURSE PRACTITIONER
Credential: DNP, FNP-BC
Phone: 240-472-0583