Provider Demographics
NPI:1992983613
Name:WAHAB, MAYBEL JOSEPHINE (CNM)
Entity type:Individual
Prefix:MS
First Name:MAYBEL
Middle Name:JOSEPHINE
Last Name:WAHAB
Suffix:
Gender:F
Credentials:CNM
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Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:JOHNS HOPKINS HOSPITAL
Mailing Address - Street 2:600 N. WOLFE STREET DEPT. GYN/OB
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-0001
Mailing Address - Country:US
Mailing Address - Phone:410-502-1136
Mailing Address - Fax:410-502-1142
Practice Address - Street 1:JOHNS HOPKINS HOSPITAL
Practice Address - Street 2:600 N. WOLFE STREET DEPT. GYN/OB
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0001
Practice Address - Country:US
Practice Address - Phone:410-502-1136
Practice Address - Fax:410-502-1142
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR189500367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD193657Y86Medicare PIN