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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KRISTINA I BOUSHEHRI, CNM

Active

KRISTINA I BOUSHEHRI, CNM is a Midwife healthcare provider located in FULTON, Maryland. NPI 1053396986 is currently active in the NPPES registry. Verify at CMS.

Midwife · FULTON, MD

Registration Details

NPI Number
1053396986
Provider Type
Individual
Gender
Female
NPI Issued
Dec 14, 2005 (20.625565917633 yrs)
Last Updated
Jul 6, 2011
License
R133237 (MD)

Practice Information

Address
7625 MAPLE LAWN BLVD
STE 1 LOWER LOBBY
FULTON, MD, 207592565
Browse MD providers · Browse ZIP 20759
Phone
4105317557
Fax
4105310818
Primary Specialty
Midwife
176B00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.