Individual
MS. MALINDA DANIEL DUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP, CDE
Contact information
Practice address
22 S GREENE ST, RM N6W84, BALTIMORE, MD 21201-1544
(410) 328-3410
(410) 328-0679
Mailing address
4950 CLEARWATER DR, ELLICOTT CITY, MD 21043-6682
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R079677
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259310600
—
MD
01
—
96563
CPNP-PC
—
Enumeration date
06/01/2005
Last updated
07/08/2007
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