Individual provider · Type 1 NPI
Omokorede Fatile
Psychiatric/Mental Health Nurse Practitioner · Pikesville, MD
NPI number
1275256992
Active
Practice location
1515 Reisterstown Rd Ste 304
Pikesville, MD 21208-4336
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R214086 (MD) |
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | R214086 (MD) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 125356 (WV) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024195935 (VA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71017850A (IN) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 405486 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1275256992
Omokorede Fatile's National Provider Identifier is 1275256992, issued on Sep 20, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Pikesville, MD. The record was last updated on Jun 4, 2026.