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MODINAT FAGBENRO, PMHNP-BC
PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner
NPI: 1063061034IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse Practitioner — Psychiatric/Mental Health
Code: 363LP0808X
R210603(MD)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2019
Contact & Hours
Via practice · 2 locations total
- Address
- 22 W PADONIA RD STE C252
LUTHERVILLE TIMONIUM, MD 21093 - Phone
- (410) 768-6088
Quick Facts
- NPI
- 1063061034
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 2
- Years in Practice
- 7
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