Provider Demographics
NPI:1033942081
Name:KAMARA-HILL, KADIATU MAYENI (MSN, CRNP, FNP-BC, F)
Entity type:Individual
Prefix:MRS
First Name:KADIATU
Middle Name:MAYENI
Last Name:KAMARA-HILL
Suffix:
Gender:F
Credentials:MSN, CRNP, FNP-BC, F
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12730 LONGFORD GLEN DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-4112
Mailing Address - Country:US
Mailing Address - Phone:240-499-4252
Mailing Address - Fax:
Practice Address - Street 1:12730 LONGFORD GLEN DR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-4112
Practice Address - Country:US
Practice Address - Phone:240-499-4252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-24
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR221214363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily