Provider Demographics
NPI:1790512853
Name:NDIAYE, MAREMA SODA (RN)
Entity type:Individual
Prefix:
First Name:MAREMA
Middle Name:SODA
Last Name:NDIAYE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8957 EDMONSTON RD STE P
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-4048
Mailing Address - Country:US
Mailing Address - Phone:240-898-6898
Mailing Address - Fax:301-345-1540
Practice Address - Street 1:8957 EDMONSTON RD STE P
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-4048
Practice Address - Country:US
Practice Address - Phone:240-898-6898
Practice Address - Fax:301-345-1540
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR216168363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health