Individual provider · Type 1 NPI

Esther Opemipo Shadare, DNP

Psychiatric/Mental Health Nurse Practitioner · Glen Burnie, MD

NPI number 1245609775 Active

Practice location

1401 Madison Park Dr Ste 201
Glen Burnie, MD 21061-5881

Fax (410) 787-5714

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XRN1030978 (DC)
Family Nurse Practitioner 363LF0000XR206030 (MD)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X0024185798 (VA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XR206030 (MD)

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

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About NPI 1245609775

Esther Opemipo Shadare, DNP's National Provider Identifier is 1245609775, issued on Sep 15, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Glen Burnie, MD. The record was last updated on Dec 2, 2024.