Individual
OLUWATIMILEHIN UGBADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3559 BOSTON ST, BALTIMORE, MD 21224-5750
(410) 246-8516
Mailing address
3559 BOSTON ST, BALTIMORE, MD 21224-5750
(410) 246-8516
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R217425
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R217425
MBON
MD
Enumeration date
08/26/2019
Last updated
08/02/2021
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