Maryam Nisa
Maryam Nisa is a Nurse Practitioner in Towson, Maryland. Qualified in 2018, 8 years ago. Practices with Greater Baltimore Medical Center Inc, a 348-clinician group and accepts Medicare assignment. Licensed in Maryland.
- Years since qualifying
- 8
- Licensed in
- MD
- In the registry since
- 2018
Practice location Address checks out
6701 N Charles StTowson, MD 21204-6808
Phone: (443) 370-3084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence R196002 (MD) |
|---|
Record details
| NPI number | 1992284095 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 9, 2018 |
| Last updated in NPPES | August 9, 2018 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Greater Baltimore Medical Center Inc — 348 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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