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

Sylvia Ibetoh

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1902772882

Sylvia Ibetoh is a Nurse Practitioner in Severn, Maryland. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Maryland.

Years since qualifying
2
Licensed in
MD
In the registry since
2025

Practice location Address checks out

8536 Golden Eagle Ln
Severn, MD 21144-3156
Phone: (469) 274-3796
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 R230257 (MD)

Record details

NPI number1902772882
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 16, 2025
Last updated in NPPESOctober 16, 2025
Certification dateOctober 13, 2025
Mailing address8536 Golden Eagle Ln, Severn, MD 21144-3156

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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