Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Agnes R. Datan

Individual provider Nurse's Aide · NPI 1093609604

Agnes R. Datan is a Nurse's Aide in Odenton, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2025

Practice location Address checks out

857 Sunny Chapel Rd
Odenton, MD 21113-2536
Phone: (202) 374-2744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence A00212776 (MD)

Record details

NPI number1093609604
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 6, 2025
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025
Mailing address8035 Georgia Ct, Severn, MD 21144-2662

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