Individual
KIMBERLY BUBNASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2411 W BELVEDERE AVE STE 205, BALTIMORE, MD 21215-5229
(410) 601-8331
Mailing address
10794 HICKORY RIDGE RD, COLUMBIA, MD 21044-3646
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R186900
MD
Other
Enumeration date
02/07/2019
Last updated
05/05/2019
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