Mary Ogunlowo-Omobhude
Nurse Practitioner, Psych/Mental Health in Glen Burnie, MD. Individual provider (NPI-1).
NPI number1508324971
StatusActive
Last updated in NPPESApr 28, 2020
Details
- NPI
- 1508324971
- Entity type
- Individual (NPI-1)
- Name
- Mary Ogunlowo-Omobhude
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 5, 2019
- Certification date
- Apr 28, 2020
- Last updated
- Apr 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 1508324971 | DC | Yes |
Practice location
420 Crain Hwy SSte 3
Glen Burnie, MD 21061-3657
Phone 240-602-7035
Mailing address
4505 Blackbirds Folly LnBowie, MD 20720-5803
Phone 240-602-7035
Other practice locations
2526 Pennsylvania Ave Se
Washington, DC 20020-6719
Washington, DC 20020-6719
Phone 202-748-5641 · Fax 202-748-5647
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