Provider Demographics
NPI:1184019382
Name:HERRING, NABESA NYOTA (MD)
Entity Type:Individual
Prefix:
First Name:NABESA
Middle Name:NYOTA
Last Name:HERRING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7450 ALBERT ROAD, 3RD FLOOR
Mailing Address - Street 2:GREATER BADEN MEDICAL SERVICES
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613
Mailing Address - Country:US
Mailing Address - Phone:301-599-0460
Mailing Address - Fax:
Practice Address - Street 1:1458 ADDISON ROAD SOUTH
Practice Address - Street 2:GREATER BADEN AT CAPITOL HEIGHTS
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743
Practice Address - Country:US
Practice Address - Phone:301-324-6405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-03
Last Update Date:2015-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0048294207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine