Provider Demographics
NPI:1972475200
Name:NYAMBURA, MARGARET (LPN)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:NYAMBURA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 MOORE AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-7529
Mailing Address - Country:US
Mailing Address - Phone:443-817-1588
Mailing Address - Fax:443-279-7227
Practice Address - Street 1:2501 MOORE AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21234-7529
Practice Address - Country:US
Practice Address - Phone:443-817-1588
Practice Address - Fax:443-279-7227
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLP42897315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities