IndividualActive
Adia Boukari
NPI 1336857499 · Nurse's Aide · Laurel, MD
Provider details
- NPI number
- 1336857499
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- A00154734 (MD)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
7626 Carissa Ln
Laurel, MD 20707-3623
Phone: (240) 413-5976
Approximate (ZIP-level) locationGet directions
Mailing address
7626 Carissa Ln
Laurel, MD 20707-3623
Registry dates
- Enumerated
- 2022-11-08
- Last updated
- 2022-11-08
- Certified
- 2022-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.