Individual
HENRIETTA MOSOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
415 PRAIRIE CT, UPPER MARLBORO, MD 20774-5786
(301) 281-1907
Mailing address
1800 N CHARLES ST STE 804, BALTIMORE, MD 21201-5987
(240) 898-1810
(240) 493-8657
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R1038649
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R217639
MD
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073873576
—
DC
Enumeration date
05/18/2012
Last updated
01/03/2024
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