Organization · Type 2 NPI

Mia Al

Psychiatric/Mental Health Nurse Practitioner · Baltimore, MD

NPI number 1750247904 Active

Practice location

4200 Edmondson Ave Ste 200
Baltimore, MD 21229-1614

Call (410) 202-2866 Map

Fax (410) 988-2626

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1750247904

Mia Al's National Provider Identifier is 1750247904, issued on Dec 31, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Baltimore, MD. The record was last updated on Feb 10, 2026.