# ISOBA HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ISOBA Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417724139
- **Authorized official:** GRACLYN ABOSI NP (PMHNP-BC, CRNP)
- **Authorized official phone:** (301) 821-0139

## Contact information

- **Practice address:** 8117 HARFORD RD STE 2, PARKVILLE, MD 21234-5792
- **Practice address phone:** (301) 821-0139
- **Mailing address:** 3035 BUTTON BUSH LN, LAUREL, MD 20724-2948
- **Mailing address phone:** (301) 821-0139

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/04/2023
- **Last updated:** 12/04/2023