Provider Demographics
NPI:1073389821
Name:MBAYE, ROKHAYA (NP)
Entity Type:Individual
Prefix:
First Name:ROKHAYA
Middle Name:
Last Name:MBAYE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13103 CONTEE MANOR RD
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-3299
Mailing Address - Country:US
Mailing Address - Phone:301-377-3168
Mailing Address - Fax:
Practice Address - Street 1:13103 CONTEE MANOR RD
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-3299
Practice Address - Country:US
Practice Address - Phone:301-377-3168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-01
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR163065363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner