MRS. LAWRETTA OROBOSA JINADU


Address: 950 Southerly Rd, Baltimore, MD 21204-2756
Phone: 4104499142

MRS. LAWRETTA OROBOSA JINADU (NPI# 1740804749) 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) 1740804749
Entity Type Individual
Full Name MRS. LAWRETTA OROBOSA JINADU
Credential CRNP-PMH
Practice Address 950 Southerly Rd
Baltimore
MD 21204-2756
Mailing Address 950 Southerly Rd
Towson
MD 21204-2756
Practice Telephone 4104499142
Mailing Telephone 4104499142
Enumeration Date 2020-06-04
Last Update Date 2020-06-04
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
R207274 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 950 SOUTHERLY RD
City BALTIMORE
State MD
Zip Code 21204-2756

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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...

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Competitor

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City BALTIMORE
Zip Code 21204

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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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