Individual
MRS. FADILA KAKAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4600 POWDER MILL RD STE 450, BELTSVILLE, MD 20705-2686
(240) 701-9097
(833) 471-0372
Mailing address
3600 POCONO PL, BELTSVILLE, MD 20705-3542
(240) 444-9514
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
R163320
MD
363LP2300X
Primary Care Nurse Practitioner
Primary
R163320
MD
Other
Enumeration date
11/02/2021
Last updated
09/25/2023
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