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Individual

OLUFUNKE ABIMBOLA CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
2501 PARKERS LN, ALEXANDRIA, VA 22306-3209
(301) 732-9954
Mailing address
9717 TRAVER ST, BOWIE, MD 20721-1867
(301) 732-9954

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN1006568
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R230464
MBON
MD
01
RN1006568
DOH
DC
Enumeration date
10/13/2021
Last updated
09/07/2024
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