Individual
ERIC KOBENA SAFO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3611 BRANCH AVE STE 404, TEMPLE HILLS, MD 20748-1251
(240) 719-2587
Mailing address
20217 GENTLE WAY, GAITHERSBURG, MD 20886-1204
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
NP500004284
DC
363LF0000X
Family Nurse Practitioner
R204606
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP500004284
DC
Other
Enumeration date
03/23/2021
Last updated
02/06/2026
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