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NPI Code Detail

MEDICARE: MRS. FADILA KAKAYE CRNP

MEDICARE:  MRS. FADILA  KAKAYE  CRNP
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
1363LA2200XAdult Health Nurse PractitionerR163320MD
2363LP2300XPrimary Care Nurse PractitionerR163320MD

General Provider Information

NPI Number : 1801551015
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. FADILA KAKAYE CRNP
Provider Business Mailing Address
First Line : 3600 POCONO PL
Second Line :
City : BELTSVILLE
State : MD
Zip : 20705-3542
Country : US
Telephone Number : 240-444-9514
Fax Number :
Provider Business Practice Location Address
First Line : 4600 POWDER MILL RD STE 450
Second Line :
City : BELTSVILLE
State : MD
Zip : 20705-2686
Country : US
Telephone Number : 240-701-9097
Fax Number : 833-471-0372
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2021
Last Update Date : 09/25/2023

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