Mojisola Anike Adebayo, CRNP-PMH
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Lanham, MD
NPI 1316634314 · NPPES record last updated Apr 19, 2023
Key facts
- NPI
- 1316634314
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- R184893 (MD)
- Practice address
- 6516 100TH Ave
Lanham, MD 20706-2646 - Phone
- (301) 793-8838
- NPI assigned
- Apr 19, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R184893 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R184893 | MD | Yes |
Addresses
Primary practice location
6516 100TH Ave
Lanham, MD 20706-2646
Mailing address
6516 100TH Ave
Lanham, MD 20706-2646
Phone (301) 793-8838
Other providers in Lanham, MD
- Adegboyaga Adebayo
- Aderonke Eniola Adebayo
- Damilola Rebecca Adebayo
- Frederick Adebayo
- Giovanne Adebayo
- Olayinka Folashade Adebayo
- Oluwafemi Isaac Adebayo
- Olubunmi Fadeke Adebisi
- Moriamo Adebiyi
- Suliat Adedokun
All providers in Lanham, MD · Psychiatric/Mental Health Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.