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MABONA SOUMAHORO
NPI 1114502333
Nurse Practitioner - Family in Baltimore, MD

Active since March 10, 2021
2429 ASHTON ST, BALTIMORE, MD 21223(443) 509-4188 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mabona Soumahoro NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MABONA SOUMAHORO (NPI 1114502333) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R205515) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1114502333
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMABONA SOUMAHORO
Location Address2429 ASHTON STBaltimore, MD 21223-2819
Mailing Address2429 Ashton StBaltimore, MD 21223-2819 · (443) 509-4188
Phone(443) 509-4188
Sole ProprietorYes
Enumeration DateMarch 10, 2021
NPPES CertifiedMarch 10, 2021
✔ NPI 1114502333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R205515
2429 ASHTON ST, Baltimore, MD 21223
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mabona Soumahoro's NPI number?

The NPI number for Mabona Soumahoro is 1114502333. It was assigned to this individual provider in the NPPES registry on March 10, 2021.

Where is Mabona Soumahoro located?

Mabona Soumahoro practices at 2429 Ashton St, Baltimore, MD 21223. The listed phone number is (443) 509-4188.

What is Mabona Soumahoro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mabona Soumahoro was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.