MEDICARE: GAFOBEA MARIELANDRIN NAHYAMA

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	376K00000X	Nurse's Aide	NA0000814727	DC

General Provider Information

NPI Number	:	1366300386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAFOBEA MARIELANDRIN NAHYAMA

Provider Business Mailing Address
First Line	:	5506 NEWTON ST
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20784-1156
Country	:	US
Telephone Number	:	202-751-8288
Fax Number	:

Provider Business Practice Location Address
First Line	:	5506 NEWTON ST
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20784-1156
Country	:	US
Telephone Number	:	202-751-8288
Fax Number	:

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

Provider Enumeration Date	:	01/10/2026
Last Update Date	:	01/10/2026

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