Khadeja Qubla Ibn Baidoo, CRNP Valid NPI

Individual provider · Family Nurse Practitioner · Frederick, MD

NPI

1104467414

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

R214238 (MD)

Sex

Female

Sole proprietor

Yes

Enumerated

2019-10-08

Last updated

2020-06-12