IndividualActive
Lydia Durham, CPNP-AC
NPI 1316716749 · Critical Care Pediatric Nurse Practitioner · Baltimore, MD
Provider details
- NPI number
- 1316716749
- Entity type
- Individual
- Primary specialty
- Critical Care Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-AC
- Sex
- Female
- Sole proprietor
- No
- License
- R225877 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
22 S Greene St
Baltimore, MD 21201-1590
Phone: (410) 328-8667
Approximate (ZIP-level) locationGet directions
Mailing address
8534 Black Star Cir
Columbia, MD 21045-2646
Registry dates
- Enumerated
- 2023-12-27
- Last updated
- 2023-12-27
- Certified
- 2023-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.