Individual provider · Type 1 NPI

Agnes R. Datan

Nurse's Aide · Odenton, MD

NPI number 1093609604 Active

Practice location

857 Sunny Chapel Rd
Odenton, MD 21113-2536

Mailing address

8035 Georgia Ct
Severn, MD 21144-2662

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide Primary 376K00000XA00212776 (MD)

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1093609604

Agnes R. Datan's National Provider Identifier is 1093609604, issued on Jun 6, 2025. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Odenton, MD. The record was last updated on Jun 6, 2025.