Organization
GOLDEN LIFE STANDARD HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASHEEDAH OGUNBIYI CRNP-PMH (OWNER)
(443) 722-7136
Entity
Organization
Contact information
Practice address
400 SAMANTHAS CT, REISTERSTOWN, MD 21136-6435
(443) 722-7136
Mailing address
400 SAMANTHAS CT, REISTERSTOWN, MD 21136-6435
(443) 722-7136
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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