=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487516324
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SHARNEEL MELINIA STEWART GNA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/01/2025
-----------------------------------------------------
Last Update Date | 12/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5401 UPSHUR ST
-----------------------------------------------------
City | BLADENSBURG
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20710-1553
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-257-4466
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5401 UPSHUR ST
-----------------------------------------------------
City | BLADENSBURG
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20710-1553
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-257-4466
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3747P1801X
-----------------------------------------------------
Taxonomy Name | Personal Care Attendant
-----------------------------------------------------
License Number | A00172804
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207QG0300X
-----------------------------------------------------
Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
-----------------------------------------------------
License Number | A00172804
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------