Individual provider · NPI-1

Hajara O Adebowale

Nurse Practitioner · Glen Burnie, MD

NPI number1265161491
StatusActive
Last updated in NPPESOct 18, 2022

Details

NPI
1265161491
Entity type
Individual (NPI-1)
Name
Hajara O Adebowale
Sex
Female
Sole proprietor
No
Enumeration date
Jun 4, 2022
Certification date
Oct 17, 2022
Last updated
Oct 18, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerR197529MDYes

Practice location

301 Hospital Dr
Glen Burnie, MD 21061-5803

Phone 410-787-4773

Mailing address

301 Hospital Dr
Glen Burnie, MD 21061-5803

Phone 410-787-4773

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