MARY OGUNLOWO-OMOBHUDE


Address: 420 Crain Hwy S, Ste 3, Glen Burnie, MD 21061-3657
Phone: 2406027035

MARY OGUNLOWO-OMOBHUDE (NPI# 1508324971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508324971
Entity Type Individual
Full Name MARY OGUNLOWO-OMOBHUDE
Practice Address 420 Crain Hwy S
Ste 3
Glen Burnie
MD 21061-3657
Mailing Address 4505 Blackbirds Folly Ln
Bowie
MD 20720-5803
Practice Telephone 2406027035
Mailing Telephone 2406027035
Enumeration Date 2019-03-05
Last Update Date 2020-04-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
1508324971 DC Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2526 Pennsylvania Ave Se, Washington, DC 200206719 2027485641 2027485647

Office Location

Street Address 420 CRAIN HWY S
STE 3
City GLEN BURNIE
State MD
Zip Code 21061-3657

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063406395 Dr Julian N Sober Pa Podiatrist 420 Crain Hwy S, Suite #2, Glen Burnie, MD 21061-3657 2005-09-01
1235427428 Dwight L. Berry Dds Pa Dentist 420 Crain Hwy S, Suite 6, Glen Burnie, MD 21061-3657 2011-07-21
1417195116 Dwight Leon Berry Dentist 420 Crain Hwy S, Suite 6, Glen Burnie, MD 21061-3657 2009-02-03
1245224575 Julian Neal Sober Podiatrist 420 Crain Hwy S, Suite #2, Glen Burnie, MD 21061-3657 2005-09-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255814422 Lotus Behavioral Health and Rehabilitation Services Inc. Behavior Technician 6426 Harrison Square, Glen Burnie, MD 21061 2018-09-12
1942795315 Tina Brown Behavior Technician Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 2018-06-27
1205351905 Digna Emerita Sanchez De Vasquez Specialist/Technologist, Other 201 Fernglen Ave, Glen Burnie, MD 21061 2017-08-03
1255780300 Rachel Cutts Physical Therapist 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 2016-06-09
1295181170 Gaudenzia, Inc. Counselor 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 2016-05-10
1023499548 Mary Bourbon Nurse Practitioner 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 2015-06-10
1972997724 Robert Oladeinde Physician Assistant 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 2015-03-18
1205248069 Cathy Qing He Anesthesiology 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 2014-05-28
1477974764 Shannon Holder Nurse Practitioner 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 2014-01-03
1629404207 Marla Ann Muha Physician Assistant 301 Hospital Dr # 803, Glen Burnie, MD 21061 2013-09-16
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376177097 Edith Osei Nurse Practitioner 718 Columbus Dr, Glen Burnie, MD 21061-4990 2020-03-03
1437798923 Ic Health Services Inc Nurse Practitioner 6710f Ritchie Hwy Ste 417, Glen Burnie, MD 21061-2319 2019-12-31
1003450206 Equillibrium Health Care Services LLC Nurse Practitioner 6710f Ritchie Hwy # 417, Glen Burnie, MD 21061-2319 2019-10-30
1508428541 Body Mind & Soul Family Services, LLC Nurse Practitioner 1401 Madison Park Dr Ste 201, Glen Burnie, MD 21061-5881 2019-06-30
1427317080 Martin Nkemamin Nzefeh Nurse Practitioner 1406 Crain Hwy S # 104-106, Glen Burnie, MD 21061-4058 2012-05-16
1467460865 Ilya Rozenberg Nurse Practitioner 7452 Baltimore Annapolis Blvd, Suite 107, Glen Burnie, MD 21061-3547 2006-08-03
1821696196 Lacreasha Fullard Nurse Practitioner 7207 Baltimore Annapolis Blvd, Glen Burnie, MD 21061-2684 2020-10-09
1831702539 Seven 2 Seven Medical Services LLC Nurse Practitioner 7678 Quarterfield Rd Ste 201, Glen Burnie, MD 21061-7071 2020-08-24
1003426065 Epm Health Services Nurse Practitioner 718 Columbus Dr, Glen Burnie, MD 21061-4990 2020-08-05
1053961987 Michael Nwandu Nurse Practitioner 7836 Oakwood Rd, Glen Burnie, MD 21061-4298 2019-09-12
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Competitor

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City GLEN BURNIE
Zip Code 21061

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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