Individual
ITORO ABATAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 GARRISON BLVD STE 205, BALTIMORE, MD 21216-2309
(443) 691-5498
Mailing address
9620 MAXWELL RD, MIDDLE RIVER, MD 21220-3792
(443) 691-5498
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R220850
MD
Other
Enumeration date
10/19/2020
Last updated
04/15/2025
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