Provider Demographics
NPI:1558136150
Name:EDEMA, BLESSING
Entity Type:Individual
Prefix:
First Name:BLESSING
Middle Name:
Last Name:EDEMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7010 CIPRIANO WOODS CT
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3831
Mailing Address - Country:US
Mailing Address - Phone:469-487-6863
Mailing Address - Fax:
Practice Address - Street 1:7010 CIPRIANO WOODS CT
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3831
Practice Address - Country:US
Practice Address - Phone:469-487-6863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-24
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide