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Mutiat O. Popoola, NURSEPRACTITIONER
Psychiatric/Mental Health Nurse Practitioner in Brandywine, Maryland
NPI 1477169936

Mutiat O. Popoola is a Psychiatric/Mental Health Nurse Practitioner based in Hyattsville, MD and is specialized in Psychiatric/Mental Health. Mutiat O. Popoola practices in Brandywine, MD and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Mutiat O. Popoola is 1477169936 and holds a License No. R205702 (Maryland).

The current practice location address for Mutiat O. Popoola is 15518 Kennett Square Way, Brandywine, MD and can be reached out via phone at 240-988-3779.

Location: 15518 Kennett Square Way, Brandywine, MD, 20785-4736
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Provider Profile Details
NPI Number
1477169936
Provider Name
Mutiat O. Popoola
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
15518 Kennett Square Way, Brandywine, MD, 20785-4736
Phone Number
240-988-3779
Fax Number
Provider Enumeration Date
09/21/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NONE 01 OPTIONAL
institution
Provider Business Practice Location Address Details
Address
15518 Kennett Square Way
City
State
Zip
20613-6239
Phone Number
240-988-3779
Fax Number
person
Provider Business Mailing Address Details
Address
15518 Kennett Square Way
City
State
Zip
20613-6239
Phone Number
240-988-3779
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.
R205702 (Maryland)
Definition
Definition to come...
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