Provider Demographics
NPI:1538473046
Name:KAMARA, ELIZABETH BINTU
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:BINTU
Last Name:KAMARA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:BINTU
Other - Last Name:SISAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DIRECTOR OF NURSING,
Mailing Address - Street 1:9725 HEDIN DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-1805
Mailing Address - Country:US
Mailing Address - Phone:301-434-0015
Mailing Address - Fax:301-439-4812
Practice Address - Street 1:9725 HEDIN DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-1805
Practice Address - Country:US
Practice Address - Phone:301-434-0015
Practice Address - Fax:301-439-4812
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-27
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR180924163W00000X
MDR2883251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No163W00000XNursing Service ProvidersRegistered Nurse