person
Modinat Oluwatoyin Fagbenro, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Owings Mills, Maryland
NPI 1063061034

Modinat Oluwatoyin Fagbenro is a Psychiatric/Mental Health Nurse Practitioner based in Owings Mills, MD and is specialized in Psychiatric/Mental Health. Modinat Oluwatoyin Fagbenro practices in Owings Mills, MD and has the professional credentials of PMHNP-BC. The NPI Number for Modinat Oluwatoyin Fagbenro is 1063061034 and holds a License No. R210603 (Maryland).

The current practice location address for Modinat Oluwatoyin Fagbenro is 4105 Daylily Dr, Owings Mills, MD and can be reached out via phone at 410-800-4471. You can also correspond with Modinat Oluwatoyin Fagbenro through the mailing address at 4105 DAYLILY DR, OWINGS MILLS, MD - 21117-5034 (mailing address contact number: 410-800-4471).

Location: 4105 Daylily Dr, Owings Mills, MD, 21117-5034
person
Provider Profile Details
NPI Number
1063061034
Provider Name
Modinat Oluwatoyin Fagbenro
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
4105 Daylily Dr, Owings Mills, MD, 21117-5034
Phone Number
410-800-4471
Fax Number
Provider Enumeration Date
09/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4105 Daylily Dr
City
State
Zip
21117-5034
Phone Number
410-800-4471
Fax Number
person
Provider Business Mailing Address Details
Address
4105 Daylily Dr
City
State
Zip
21117-5034
Phone Number
410-800-4471
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R210603 (Maryland)
Definition
Definition to come...
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