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Organization
GT HEALTHCARE INC
Active
Organization
GT HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUWATOSIN FANIMO PMHNP (OWNER/PROVIDER)
(202) 246-3013
Entity
Organization
Contact information
Practice address
10515 THEODORE GREEN BLVD STE 212, WHITE PLAINS, MD 20695-3044
(202) 246-3013
(202) 246-3013
Mailing address
10515 THEODORE GREEN BLVD STE 212, WHITE PLAINS, MD 20695-3044
(202) 246-3013
(202) 246-3013
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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