Yekeen Odewale
Nurse Practitioner, Psych/Mental Health in Owings Mills, MD. Individual provider (NPI-1).
NPI number1184175697
StatusActive
Last updated in NPPESJan 30, 2025
Details
- NPI
- 1184175697
- Entity type
- Individual (NPI-1)
- Name
- Yekeen Odewale
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 19, 2016
- Certification date
- Jan 30, 2025
- Last updated
- Jan 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | R212715 | MD | Yes |
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | R212715 | MD |
Practice location
4515 Hidden Stream CtOwings Mills, MD 21117-4837
Phone 410-300-6461
Mailing address
5411 Old Frederick Rd Ste 7Baltimore, MD 21229-2126
Phone 410-762-8945
Other practice locations
5411 Old Frederick Rd Ste 7
Baltimore, MD 21229
Baltimore, MD 21229
Phone 410-762-8945
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