MEDICARE: AISHA BUNDU-WURIE RN

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	163W00000X	Registered Nurse	R232907	MD

General Provider Information

NPI Number	:	1831060052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AISHA BUNDU-WURIE RN

Provider Business Mailing Address
First Line	:	3901 CALVERTON BLVD STE 250
Second Line	:
City	:	CALVERTON
State	:	MD
Zip	:	20705-3407
Country	:	US
Telephone Number	:	703-531-7453
Fax Number	:

Provider Business Practice Location Address
First Line	:	3901 CALVERTON BLVD STE 250
Second Line	:	OFFICE 225
City	:	CALVERTON
State	:	MD
Zip	:	20705-3407
Country	:	US
Telephone Number	:	703-531-7453
Fax Number	:

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

Provider Enumeration Date	:	09/12/2025
Last Update Date	:	10/22/2025

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Directions to “ AISHA BUNDU-WURIE RN” Practice Location

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