Individual provider · Type 1 NPI

Mohamed Maadakin Koroma

Gerontology Nurse Practitioner · Washington, DC

NPI number 1104211523 Active

Practice location

1310 Southern Ave SE
Washington, DC 20032-4623

Fax (202) 574-5225

Mailing address

22 Dutchess Ct
Olney, MD 20832-1727

Other practice locations

  • 22 Dutchess Ct, Olney, MD 20832-1727 · (301) 740-0020

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XRN1009274 (DC)
Gerontology Nurse Practitioner Primary 363LG0600XRN1009274 (DC)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1104211523

Mohamed Maadakin Koroma's National Provider Identifier is 1104211523, issued on Apr 2, 2015. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Washington, DC. The record was last updated on Nov 29, 2022.