MS. IDETTE BRUMBAUGH RN NPI 1063178820

NPI Information

  • NPI: 1063178820
  • Provider Name: MS. IDETTE BRUMBAUGH, RN
  • Classification: Registered Nurse - 163WH0200X
  • Specialization: Home Health
  • Entity Type: Individual
  • Address: 30 SHELLDRAKE CT
    DAMASCUS, MD
    ZIP 20872
  • Phone: (301) 758-0866

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NPI Details

MS. Idette Brumbaugh, RN is a home health registered nurse in Damascus, MD. MS. Idette Brumbaugh, RN NPI is 1063178820. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

30 SHELLDRAKE CT
DAMASCUS, MD
ZIP 20872-614
Phone: (301) 758-0866
Fax: (301) 253-5174

The enumeration date for this NPI number is 11/16/2021 and was last updated on 11/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC0400XRegistered NurseCase ManagementR107452MARYLANDNo
2163WC1500XRegistered NurseCommunity HealthR107452MARYLANDNo
3163WC1600XRegistered NurseContinuing Education/Staff DevelopmentR107452MARYLANDNo
4163WW0000XRegistered NurseWound CareR107452MARYLANDNo
5163WH0200XRegistered NurseHome HealthR107452MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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