Organization
PRACTICAL LIFE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLAYEMI AYILEGBE (DNP, PMHNP)
(667) 842-1003
Entity
Organization
Contact information
Practice address
1013 CORTANA CT, SEVERN, MD 21144-1185
(667) 842-1003
Mailing address
1013 CORTANA CT, SEVERN, MD 21144-1185
(667) 842-1003
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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