Individual
MUNIRATU FABODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1501 DIVISION ST, BALTIMORE, MD 21217-3121
(410) 383-8300
(410) 383-3160
Mailing address
1501 DIVISION ST, BALTIMORE, MD 21217-3121
(410) 383-8300
(410) 383-3160
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R131125
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
321153300
—
MD
Enumeration date
10/25/2021
Last updated
07/22/2025
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