1. Home
  2. Directory
  3. Maryland
  4. Bowie
  5. Nurse Practitioner
  6. NPI Profile

ETHELAURA CARE CLINICS LLC
NPI 1770470254
Nurse Practitioner - Family in Bowie, MD

Active since June 18, 2025
12530 FAIRWOOD PKWY STE 102-307, BOWIE, MD 20720(301) 728-7200 Get Directions Write a Review

NPPES record last updated: September 1, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 1, 2025, Jun 23, 2025, Jun 18, 2025 (3 updates tracked since 2025).

About Ethelaura Care Clinics Llc NPPES

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

ETHELAURA CARE CLINICS LLC (NPI 1770470254) is a healthcare organization registered as a family in Bowie, Maryland and active in the NPI registry since June 2025. The organization lists Eronmwon Yvonne Okonjo, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1770470254
Entity TypeOrganization
Primary Taxonomy363LF0000X
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 OkonjoPractice Manager · (301) 728-7200
Enumeration DateJune 18, 2025
Last NPPES UpdateSeptember 1, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2025
✔ NPI 1770470254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
12530 FAIRWOOD PKWY STE 102-307, Bowie, MD 20720
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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
Clinic/Center
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 1770470254. It was assigned to this organization in the NPPES registry on June 18, 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 Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Ethelaura Care Clinics LLC was last updated on September 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.