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

Basiru Samba

Individual provider Registered Nurse · NPI 1548636269

Basiru Samba is a Registered Nurse in Bowie, Maryland. Licensed in Maryland. Registered with an NPI since 2015.

Licensed in
MD
In the registry since
2015
Specialties on file
14
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Practice location Address checks out

4802 Willes Vision Dr
Bowie, MD 20720-4671
Phone: (301) 284-0636
Fax: (301) 542-0184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Registered Nurse Taxonomy 163W00000X · Licence R159377 (MD)
Administrator Registered Nurse Taxonomy 163WA2000X · Licence R155931 (MD)
Licensed Practical Nurse Taxonomy 164W00000X · Licence LP34564 (MD)
Specialist Taxonomy 174400000X
Health Information Specialist/Technologist Taxonomy 246Y00000X
Other Technician Taxonomy 247200000X
Chore Provider Taxonomy 372500000X
Adult Companion Taxonomy 372600000X
Attendant Care Provider Taxonomy 3747A0650X
Home Health Aide Taxonomy 374U00000X
Nursing Home Administrator Taxonomy 376G00000X
Homemaker Taxonomy 376J00000X
Nurse's Aide Taxonomy 376K00000X

Record details

NPI number1548636269
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 17, 2015
Last updated in NPPESAugust 17, 2015
Mailing address4802 Willes Vision Dr, Bowie, MD 20720-4671

Other providers in Bowie