Provider Demographics
NPI:1043848716
Name:NDAKA-NUSTA, FLORA BIH (FNP)
Entity Type:Individual
Prefix:MRS
First Name:FLORA
Middle Name:BIH
Last Name:NDAKA-NUSTA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 LARGO RD UPPR MALBORO
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-2122
Mailing Address - Country:US
Mailing Address - Phone:240-305-3696
Mailing Address - Fax:
Practice Address - Street 1:600 LARGO RD UPPR MALBORO
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-2122
Practice Address - Country:US
Practice Address - Phone:240-305-3696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-30
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR137011363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner