Individual
LINDA HASSAN ALLIBALOGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP, FNP-BC
Contact information
Practice address
8890 MCDONOGH RD, SUITE 208, OWINGS MILLS, MD 21117-5397
(410) 559-6121
(916) 581-8678
Mailing address
8890 MCDONOGH ROAD, SUITE 208, OWINGS MILLS, MD 21117-5397
(410) 559-6121
(916) 581-8678
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R175115
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R175115
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
602310000
—
MD
Enumeration date
08/15/2012
Last updated
10/31/2024
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