Individual
NICOLE MAFFIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 FALLSWAY, BALTIMORE, MD 21202-4800
(443) 703-1504
(410) 837-8020
Mailing address
421 FALLSWAY, BALTIMORE, MD 21202-4800
(410) 703-1439
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R177911
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800606700
—
MD
Enumeration date
07/21/2015
Last updated
01/05/2023
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