Provider Demographics
NPI:1306357595
Name:AHMED, KIA (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:KIA
Middle Name:
Last Name:AHMED
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 SILVER HILL RD STE 103
Mailing Address - Street 2:
Mailing Address - City:SUITLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20746-5208
Mailing Address - Country:US
Mailing Address - Phone:240-563-1221
Mailing Address - Fax:
Practice Address - Street 1:5001 SILVER HILL RD STE 103
Practice Address - Street 2:
Practice Address - City:SUITLAND
Practice Address - State:MD
Practice Address - Zip Code:20746-5208
Practice Address - Country:US
Practice Address - Phone:240-563-1221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-16
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR155004363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health