Provider Demographics
NPI:1053820621
Name:NABIE, ALIMATU KOSNATU (CRNP)
Entity type:Individual
Prefix:MRS
First Name:ALIMATU
Middle Name:KOSNATU
Last Name:NABIE
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 1:30 CINNABAR CT
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-4570
Mailing Address - Country:US
Mailing Address - Phone:717-645-0762
Mailing Address - Fax:
Practice Address - Street 1:9909 MAPLE LEAF DR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY VILLAGE
Practice Address - State:MD
Practice Address - Zip Code:20886-1133
Practice Address - Country:US
Practice Address - Phone:301-250-3169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-26
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR193770363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health