Individual provider · Type 1 NPI

Peter Olusola Ige

Psychiatric/Mental Health Nurse Practitioner · Baltimore, MD

NPI number 1164060943 Active

Practice location

5411 Old Frederick Rd
Baltimore, MD 21229-2195

Mailing address

12 Rozina Ct
Owings Mills, MD 21117-1318

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XR142898 (MD)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1164060943

Peter Olusola Ige's National Provider Identifier is 1164060943, issued on Dec 12, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Baltimore, MD. The record was last updated on Dec 12, 2019.