Organization
PINNACLE FAMILY CARE PRACTICE
Active
Other names
Pinnacle Family Care Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADENIKE A. POPOOLA CRNP (MANAGING DIRECTOR)
(443) 527-1497
Entity
Organization
Contact information
Practice address
5835 YORK RD, BALTIMORE, MD 21212-3612
(443) 912-5077
(410) 835-7865
Mailing address
10220 S DOLFIELD RD STE 105, OWINGS MILLS, MD 21117-3660
(443) 912-5077
(410) 835-7865
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
622039800
—
MD
01
—
R224315
FAMILY MEDICINE
MD
Enumeration date
02/18/2022
Last updated
11/06/2022
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