Itoro Abatai
Nurse Practitioner, Psych/Mental Health in Baltimore, MD. Individual provider (NPI-1).
NPI number1245839653
StatusActive
Last updated in NPPESApr 15, 2025
Details
- NPI
- 1245839653
- Entity type
- Individual (NPI-1)
- Name
- Itoro Abatai
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2020
- Certification date
- Apr 15, 2025
- Last updated
- Apr 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | R220850 | MD | Yes |
Practice location
2300 Garrison Blvd Ste 205Baltimore, MD 21216-2309
Phone 443-691-5498
Mailing address
9620 Maxwell RdMiddle River, MD 21220-3792
Phone 443-691-5498
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