Individual provider · Type 1 NPI
Lydia Durham, CPNP-AC
Critical Care Pediatric Nurse Practitioner · Baltimore, MD
NPI number
1316716749
Active
Practice location
22 S Greene St
Baltimore, MD 21201-1590
Mailing address
8534 Black Star Cir
Columbia, MD 21045-2646
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Pediatric Nurse Practitioner Primary | 363LP0222X | R225877 (MD) |
Critical Care Pediatric Nurse Practitioner: Definition to come...
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About NPI 1316716749
Lydia Durham, CPNP-AC's National Provider Identifier is 1316716749, issued on Dec 27, 2023. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Baltimore, MD. The record was last updated on Dec 27, 2023.