Whalio Doctors

NPI 1053396986

Kristina I Boushehri, CNM

Practitioner Midwife Fulton, MD

Practice location

Address
7625 Maple Lawn Blvd STE 1 Lower Lobby, Fulton, MD 20759-2565
Phone
(410) 531-7557
Fax
(410) 531-0818

Registered specialties

Midwife Primary
Other Service Providers Taxonomy 176B00000X Licence R133237 (MD)

Registry record

NPI
1053396986
Entity type
Individual
Sex (as registered)
Female
NPI issued
14 Dec 2005
Record last updated
6 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.