Individual provider · Type 1 NPI

Mamadou Sadio Diallo, FNP

Family Nurse Practitioner · Havre De Grace, MD

NPI number 1164005104 Active

Practice location

504 Lewis St
Havre De Grace, MD 21078-3420

Mailing address

1344 Tralee Cir
Aberdeen, MD 21001-2642

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR221648 (MD)

Family Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1164005104

Mamadou Sadio Diallo, FNP's National Provider Identifier is 1164005104, issued on Apr 28, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Havre De Grace, MD. The record was last updated on Apr 28, 2021.