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ETHELAURA CARE CLINICS LLC
NPI 1154218543
Clinic/Center in Bowie, MD

Active since June 19, 2025
12530 FAIRWOOD PKWY STE 102-307, BOWIE, MD 20720(301) 728-7200 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethelaura Care Clinics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHELAURA CARE CLINICS LLC (NPI 1154218543) is a healthcare organization registered as a clinic/center in Bowie, Maryland and active in the NPI registry since June 2025. The organization lists Eronmwon Yvonne Okonjo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154218543
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameETHELAURA CARE CLINICS LLC
Location Address12530 FAIRWOOD PKWY STE 102-307Bowie, MD 20720-6356
Mailing Address12530 Fairwood Pkwy Ste 102-307Bowie, MD 20720-6356 · (301) 728-7200
Phone(301) 728-7200
Organization SubpartNo
Authorized OfficialEronmwon Yvonne OkonjoCeo · (301) 728-7200
Enumeration DateJune 19, 2025
NPPES CertifiedJune 18, 2025
✔ NPI 1154218543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
12530 FAIRWOOD PKWY STE 102-307, Bowie, MD 20720
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ETHELAURA CARE CLINICS LLC
Nurse Practitioner (Family)
12530 FAIRWOOD PKWY STE 102-307
BOWIE, MD 20720
Prince George's County (301) 728-7200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethelaura Care Clinics LLC's NPI number?

The NPI number for Ethelaura Care Clinics LLC is 1154218543. It was assigned to this organization in the NPPES registry on June 19, 2025.

Where is Ethelaura Care Clinics LLC located?

Ethelaura Care Clinics LLC is located at 12530 Fairwood Pkwy Ste 102-307, Bowie, MD 20720. The listed phone number is (301) 728-7200.

What is Ethelaura Care Clinics LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Ethelaura Care Clinics LLC was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.