Individual
DORIS AKUDAZIE BEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
5721 RITCHIE HWY, BROOKLYN, MD 21225-3640
(585) 415-1942
(410) 401-0102
Mailing address
5721 RITCHIE HWY, BROOKLYN, MD 21225-3640
(410) 206-3839
(410) 401-0102
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
R167482
MD
363L00000X
Nurse Practitioner
R167482
MD
363LF0000X
Family Nurse Practitioner
Primary
R167482
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
04/19/2019
Last updated
04/22/2026
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