Most Relevant Information
Provider Data
| NPI Number: | 1003515974 |
| Provider Name: | MARIAMA KEITA CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LG0600X |
| Specialty: | Nurse Practitioner |
| License Number: | R226509 |
Most Important Dates
| Enumeration Date: | 02/28/2023 |
| Last Updated: | 02/28/2023 |
Provider Practice Location
10801 LOCKWOOD DR STE 160
SILVER SPRING
MD
209011586
Practice Location Phone/Fax
| Phone: | 3012981040 |
| Fax: |
Provider Mailing Location
10000 MARTIN AVE
GLENN DALE
MD
207699209
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |