Nurse Practitioner (Family)

Address: 2429 Ashton St, Baltimore, MD 21223-2819

MABONA SOUMAHORO (NPI# 1114502333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114502333
Entity Type Individual
Gender Female
Practice Address 2429 Ashton St
MD 21223-2819
Practice Telephone 4435094188
Mailing Address 2429 Ashton St
MD 21223-2819
Mailing Telephone 4435094188
Certification Date 2021-03-10
Enumeration Date 2021-03-10
Last Update Date 2021-03-10
Is Sole Proprietor Y


Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 363LF0000X Nurse Practitioner
Specialization: Family
R205515 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2429 ASHTON ST
State MD
Zip Code 21223-2819

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NPI Name Taxonomy Address Enumeration
1649743972 Dominique Olivier Nurse Practitioner - Family Bon Secours Hospital, 2000 West Baltimore Street, Baltimore, MD 21223 2019-01-09
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1285281535 Lotus Pediatric-Psychiatry and Behavioral Health Services Licensed Practical Nurse 503 Evergreen St, Baltimore, MD 21223-1000 2019-08-21
1215404959 Walker Pharmacy Inc Pharmacy - Community/Retail Pharmacy 2906 Edmondson Ave, Baltimore, MD 21223-1011 2018-10-31
1184181448 Shannon Gilchrist Homemaker 2530 Lauretta Ave, Baltimore, MD 21223-1022 2019-02-22
1548820988 Tenika Danielle Jones Case Manager/Care Coordinator 1929 W Mulberry St, Baltimore, MD 21223-1122 2019-06-18
1891268652 House of Change Behavioral Health Center Community/Behavioral Health 1533 Edmondson Ave, Baltimore, MD 21223-1206 2019-01-04
1396307914 Royal Minds Inc. · Royal Minds Rehabilitation Services Substance Abuse Rehabilitation Facility 1705 Edmondson Ave, Baltimore, MD 21223-1222 2019-07-03
1598222820 Exceptional Care Living, Inc Case Management 1806 Edmondson Ave, Baltimore, MD 21223-1225 2019-02-22
1417577966 Royal Minds Inc Substance Abuse Rehabilitation Facility 928 W Franklin St, Baltimore, MD 21223-1337 2020-04-24
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316537327 Sanus Practice, LLC Nurse Practitioner - Family 330 E 25th St, Baltimore, MD 21218-5359 2021-01-23
1871181735 Jam Healthcare Services Nurse Practitioner - Family 1240 Gittings Ave, Baltimore, MD 21239-1720 2021-01-06
1043806839 Jacqueline Atum Tekwe-Atenchong Nurse Practitioner - Family 1046 North Point Rd, Baltimore, MD 21224-3307 2020-12-15
1417558131 Olubunmi O Aiyegbusi Nurse Practitioner - Family 1046 Old South Northpoint Rd, Baltimore, MD 21224 2020-11-09
1962000679 Laly Sorto Nurse Practitioner - Family 923 S Curley St, Baltimore, MD 21224-4825 2020-10-14
1255947388 Michelle Victoria Haywood Nurse Practitioner - Family 3910 5th St, Baltimore, MD 21225-2036 2020-09-23
1750996930 Ashley Tyisha Sydnor Nurse Practitioner - Family 2202 Park Ave Unit 302, Baltimore, MD 21217-4868 2020-09-14
1114537008 Mercy Family Health Clinic, LLC · Mercy Family Health Clinic Nurse Practitioner - Family 5438 York Rd Ste 101, Baltimore, MD 21212-3837 2020-08-05
1265040380 Pathway To Wellness Healthcare Center Nurse Practitioner - Family 6507 Baltimore Ave, Baltimore, MD 21222-4002 2020-07-14
1679107916 Ugochi Ebiye Nurse Practitioner - Family 6 Millwheel Ct, Baltimore, MD 21236-2548 2020-02-25
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Search similar providers

Zip Code 21223

Similar providers

NPI Name Taxonomy Address Enumeration
1235600255 Abdoulaye Soumahoro Driver 68 Webster St, Pawtucket, RI 02861-1016 2018-12-17
1952937658 Mariam Gbaty Soumahoro Registered Nurse - Community Health 3800 Silver Spur Way, Sacramento, CA 95841-4411 2020-03-14

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.