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

Shanise Abo Tebo

Individual provider Home Health Aide · NPI 1063253532

Shanise Abo Tebo is a Home Health Aide in Bowie, Maryland. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

12711 Prospect Knolls Dr
Bowie, MD 20720-4606
Phone: (202) 666-3684
Show map & directions

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

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X

Record details

NPI number1063253532
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 6, 2024
Last updated in NPPESJune 6, 2024
Certification dateJune 6, 2024
Mailing address12711 Prospect Knolls Dr, Bowie, MD 20720-4606

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