Individual
OMOTALE ADEBAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1900 E NORTHERN PKWY STE 305, BALTIMORE, MD 21239-2111
(443) 563-2476
Mailing address
1900 E NORTHERN PKWY STE 305, BALTIMORE, MD 21239-2111
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R189186
MD
Other
Enumeration date
12/13/2022
Last updated
05/15/2023
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