MEDICARE: BEATRICE BIH MUMA NP

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	363L00000X	Nurse Practitioner	R178387	MD

General Provider Information

NPI Number	:	1972079879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEATRICE BIH MUMA NP

Provider Business Mailing Address
First Line	:	10200 GRAND CENTRAL AVE STE 220
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-4366
Country	:	US
Telephone Number	:	410-581-1600
Fax Number	:

Provider Business Practice Location Address
First Line	:	7580 BUCKINGHAM BLVD STE 110
Second Line	:
City	:	HANOVER
State	:	MD
Zip	:	21076-3208
Country	:	US
Telephone Number	:	410-581-1600
Fax Number	:

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

Provider Enumeration Date	:	10/17/2018
Last Update Date	:	05/30/2025

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