Provider Demographics
NPI:1114611068
Name:ALI, HODAN ABDULLAHI (APRN)
Entity Type:Individual
Prefix:MS
First Name:HODAN
Middle Name:ABDULLAHI
Last Name:ALI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6321 EARLY GLOW CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-4403
Mailing Address - Country:US
Mailing Address - Phone:240-817-7027
Mailing Address - Fax:
Practice Address - Street 1:6321 EARLY GLOW CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-4403
Practice Address - Country:US
Practice Address - Phone:240-817-7027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR257033363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care