Kristina I Boushehri CNM

NPI 1053396986 - Midwife - 176B00000X

NPI Details
NPI 1053396986
Gender Female
Enumeration Date 12/14/2005
Last Updated 07/06/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
7625 MAPLE LAWN BLVD
STE 1 LOWER LOBBY
FULTON MD, 20759-2565, US
Phone (410) 531-7557
Fax (410) 531-0818
Business Location
7625 MAPLE LAWN BLVD
STE 1 LOWER LOBBY
FULTON MD, 20759-2565, US
Phone (410) 531-7557
Fax (410) 531-0818
Toxanomy
Taxonomy Code 176B00000X
License State Maryland
License Number R133237
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According to our database, Kristina I Boushehri CNM NPI is 1053396986, taxonomy code is 176B00000X and license number is R133237, license state is located at Maryland. Kristina I Boushehri CNM physically located at 7625 Maple Lawn Blvd, Fulton MD, 20759-2565. NPI Number Kristina I Boushehri CNM has the Individual type.

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1053396986 NPI number is provided on an as is basis without warranty of any kind. 1053396986 is maintained by the National Plan & Provider Enumeration System. The contents of Kristina I Boushehri CNM are for informational purposes only.