Most Relevant Information
Provider Data
| NPI Number: | 1003007113 |
| Provider Name: | DIVINE ABEI ESSEM REGISTERED NURSE |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LP40279 |
Most Important Dates
| Enumeration Date: | 08/05/2007 |
| Last Updated: | 02/20/2021 |
Provider Practice Location
11312 EVANS TRL APT 101
BELTSVILLE
MD
207053008
Practice Location Phone/Fax
| Phone: | 2404215901 |
| Fax: |
Provider Mailing Location
11310 EVANS TRL
APT 102
BELTSVILLE
MD
207053007
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |