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

Eyerusalem Hagos

Individual provider Gerontology Nurse Practitioner · NPI 1134662497

Eyerusalem Hagos is a Gerontology Nurse Practitioner in Essex, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2016

Practice location Address checks out

1 Eastern Blvd
Essex, MD 21221-7016
Phone: (310) 707-6489
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence R160719 (MD)

Record details

NPI number1134662497
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 18, 2016
Last updated in NPPESNovember 18, 2016

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