Individual
OLUWADARA OSINUBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC
Contact information
Practice address
1501 W SARATOGA ST, BALTIMORE, MD 21223-1749
(410) 383-8300
(410) 383-3160
Mailing address
9989 SHERWOOD FARM RD, OWINGS MILLS, MD 21117-5830
(443) 388-4670
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R208889
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
929075300
—
MD
Enumeration date
03/24/2020
Last updated
02/05/2024
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