Healthcare Provider Details

I. General information

NPI: 1356950992
Provider Name (Legal Business Name): MARIAMA SESAY CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2020
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E UNIVERSITY PKWY
BALTIMORE MD
21218-2829
US

IV. Provider business mailing address

201 E UNIVERSITY PKWY
BALTIMORE MD
21218-2829
US

V. Phone/Fax

Practice location:
  • Phone: 202-532-2222
  • Fax:
Mailing address:
  • Phone: 202-532-2222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR236849
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberR236849
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: