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

Mrs. Emilienne Nguatem Nkemayim

Individual provider Primary Care Nurse Practitioner · NPI 1093224149

Mrs. Emilienne Nguatem Nkemayim is a Nurse Practitioner in Mt Airy, Maryland. Qualified in 2017, 9 years ago. Works from 2 locations. Licensed in Maryland.

Years since qualifying
9
Licensed in
MD
In the registry since
2017
Specialties on file
3

Practice location Address checks out

1604 Ridgeside Dr B2
Mt Airy, MD 21771
Phone: (410) 498-7055
Fax: (410) 862-4191
Show map & directions

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

Additional practice locations (1)

  • 5401 Old Court Rd, Randallstown, MD 21133-5103 — (410) 521-2200

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence R196070 (MD)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence R196070 (MD)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence R196070 (MD)

Record details

NPI number1093224149
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 20, 2017
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare