NPI 1093609604

Agnes R. Datan

Practitioner Nurse's Aide Odenton, MD

Practice location

Address: 857 Sunny Chapel Rd, Odenton, MD 21113-2536
Phone: (202) 374-2744
Mailing address: 8035 Georgia CT, Severn, MD 21144-2662

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence A00212776 (MD)

Other Nurse's Aide providers in Maryland →

Registry record

NPI: 1093609604
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jun 2025
Record last updated: 6 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.