Mrs Antonina Adhiambo Mudimba, FNP - Nurse Practitioner in Towson, MD

Mrs Antonina Adhiambo Mudimba, FNP is a Nurse Practitioner - Family based in Towson, Maryland. Mrs Antonina Adhiambo Mudimba is licensed to practice in Maryland (license number R227275) and her current practice location is 1045 Taylor Ave Ste 112, Towson, Maryland. She can be reached at her office (for appointments etc.) via phone at (443) 797-6456.

NPI number for Mrs Antonina Adhiambo Mudimba is 1538832241 and her current mailing address is 1045 Taylor Ave Ste 112, Towson, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538832241.

Contact Information

Mrs Antonina Adhiambo Mudimba, FNP
1045 Taylor Ave Ste 112,
Towson, MD 21286-8315
(443) 797-6456
Not Available

Map and Direction




Provider's Profile

Full NameMrs Antonina Adhiambo Mudimba
GenderFemale
SpecialityNurse Practitioner - Family
Location1045 Taylor Ave Ste 112, Towson, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1538832241
  • Provider Enumeration Date: 07/28/2021
  • Last Update Date: 07/28/2021

Medical Identifiers

Medical identifiers for Mrs Antonina Adhiambo Mudimba such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538832241NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R227275 (Maryland)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Antonina Adhiambo Mudimba is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Antonina Adhiambo Mudimba, FNP
1045 Taylor Ave Ste 112,
Towson, MD 21286-8315

Ph: (443) 797-6456
Mrs Antonina Adhiambo Mudimba, FNP
1045 Taylor Ave Ste 112,
Towson, MD 21286-8315

Ph: (443) 797-6456

Reviews and Comments


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