Organization
BLUEWAVES MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUFUNKE CARTER (OWNER)
(301) 732-9954
Entity
Organization
Contact information
Practice address
9717 TRAVER ST, BOWIE, MD 20721-1867
(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
—
—
Other
Enumeration date
12/02/2024
Last updated
10/30/2025
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