MEDICARE: ABELINA MALDONADO FNP, PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	R201788	MD
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R201788	MD

General Provider Information

NPI Number	:	1396212791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABELINA MALDONADO FNP, PMHNP

Provider Business Mailing Address
First Line	:	8101 SANDY SPRING RD STE 300
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20707-3596
Country	:	US
Telephone Number	:	301-450-5802
Fax Number	:	301-517-9386

Provider Business Practice Location Address
First Line	:	8101 SANDY SPRING RD STE 300
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20707-3596
Country	:	US
Telephone Number	:	301-450-5802
Fax Number	:	301-517-9386

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2018
Last Update Date	:	02/27/2026

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