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

Queendaline Nwobodo

Individual provider Nurse Practitioner · NPI 1750901955

Queendaline Nwobodo is a Nurse Practitioner in Severn, Maryland. Qualified in 2022, 4 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in District of Columbia and Maryland.

Years since qualifying
4
Licensed in
DC, MD
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1720 Sea Pine Cir
Severn, MD 21144-1017
Phone: (443) 345-7967
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 R230325 (MD)
Nurse Practitioner Taxonomy 363L00000X · Licence NP200003026 (DC)

Record details

NPI number1750901955
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 17, 2020
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025
Mailing address1720 Sea Pine Cir, Severn, MD 21144-1017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Severn