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

Beyene Edo Edessa

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1538016860

Beyene Edo Edessa is a Nurse Practitioner in Windsor Mill, Maryland. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Maryland.

Years since qualifying
1
Licensed in
MD
In the registry since
2026

Practice location Address checks out

3610 Milford Mill Rd
Windsor Mill, MD 21244-3330
Phone: (443) 405-7273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R224494 (MD)

Record details

NPI number1538016860
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 16, 2026
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026
Mailing address607 Halifax Pl, Upper Marlboro, MD 20774-2158

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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