Individual provider · Type 1 NPI
Khadeja Qubla Ibn Baidoo, CRNP
Family Nurse Practitioner · Frederick, MD
NPI number
1104467414
Active
Practice location
4843 Marsden Pl
Frederick, MD 21703-6822
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | R214238 (MD) |
| Family Nurse Practitioner Primary | 363LF0000X | R214238 (MD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104467414
Khadeja Qubla Ibn Baidoo, CRNP's National Provider Identifier is 1104467414, issued on Oct 8, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Frederick, MD. The record was last updated on Jun 12, 2020.