Individual
MRS. TEMITOPE FOWORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
515 FAIRMOUNT AVE STE 500, TOWSON, MD 21286-5466
(410) 494-1662
Mailing address
515 FAIRMOUNT AVE STE 500, TOWSON, MD 21286-8502
(443) 600-1038
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R180799
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972998086
—
MD
Enumeration date
04/06/2015
Last updated
04/03/2019
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