MEDICARE: ROKHAYA MBAYE NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	R163065	MD

General Provider Information

NPI Number	:	1073389821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROKHAYA MBAYE NP

Provider Business Mailing Address
First Line	:	13103 CONTEE MANOR RD
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20721-3299
Country	:	US
Telephone Number	:	301-377-3168
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 MEDICAL CENTER DR STE 262
Second Line	:
City	:	LARGO
State	:	MD
Zip	:	20774-3709
Country	:	US
Telephone Number	:	301-687-8970
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2023
Last Update Date	:	12/26/2025

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