Healthcare Provider Details

I. General information

NPI: 1477415388
Provider Name (Legal Business Name): FATIMA SAJOR BARRIE MSN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2025
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7095 BALTIMORE ANNAPOLIS BLVD
GLEN BURNIE MD
21061-1431
US

IV. Provider business mailing address

7095 BALTIMORE ANNAPOLIS BLVD
GLEN BURNIE MD
21061-1431
US

V. Phone/Fax

Practice location:
  • Phone: 215-820-4414
  • Fax:
Mailing address:
  • Phone: 215-820-4414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR222176
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: