Organization
SHINEFORTH HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UCHE H FABIKU DNP, PMHNP, FNP (CEO)
(301) 633-2515
Entity
Organization
Contact information
Practice address
3611 BRANCH AVE STE 404, TEMPLE HILLS, MD 20748-1251
(301) 633-2515
Mailing address
3611 BRANCH AVE STE 404, TEMPLE HILLS, MD 20748-1251
(301) 633-2515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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