person
Mosunmola Sandra Lake, DNP,PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Berwyn Heights, Maryland
NPI 1275050288

Mosunmola Sandra Lake is a Psychiatric/Mental Health Nurse Practitioner based in Beltsville, MD and is specialized in Psychiatric/Mental Health. Mosunmola Sandra Lake practices in Berwyn Heights, MD and has the professional credentials of DNP,PMHNP-BC. The NPI Number for Mosunmola Sandra Lake is 1275050288 and holds a License No. R191756 (Maryland).

The current practice location address for Mosunmola Sandra Lake is 6215 Greenbelt Rd Ste 107, Berwyn Heights, MD and can be reached out via phone at 301-272-1558 and via fax at 301-272-1559.

Location: 6215 Greenbelt Rd Ste 107, Berwyn Heights, MD, 20705-3851
person
Provider Profile Details
NPI Number
1275050288
Provider Name
Mosunmola Sandra Lake
Credential
DNP,PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
6215 Greenbelt Rd Ste 107, Berwyn Heights, MD, 20705-3851
Phone Number
301-272-1558
Fax Number
301-272-1559
Provider Enumeration Date
08/29/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6215 Greenbelt Rd Ste 107
City
State
Zip
20740-2355
Phone Number
301-272-1558
Fax Number
301-272-1559
person
Provider Business Mailing Address Details
Address
6215 Greenbelt Rd Ste 107
City
State
Zip
20740-2355
Phone Number
301-272-1558
Fax Number
301-272-1559
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R191756 (Maryland)
Definition
Definition to come...
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