Individual
MRS. OLUWATOYIN CLARA ADISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
3425 SINCLAIR LN, BALTIMORE, MD 21213-2030
(410) 366-1151
(410) 366-1151
Mailing address
4534 OLD COURT RD, PIKESVILLE, MD 21208-2430
(443) 629-2282
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
0024171618
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
R142566
MD
363LA2100X
Acute Care Nurse Practitioner
RN68175
DC
Other
Enumeration date
02/13/2009
Last updated
03/11/2019
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