Individual provider · Type 1 NPI
Samson A. Omotosho
Psychiatric/Mental Health Registered Nurse · Baltimore, MD
NPI number
1295005973
Active
Practice location
2300 Garrison Blvd, Suite 104
Baltimore, MD 21216-2335
Mailing address
10701 Chapeldale Rd
Randallstown, MD 21133-1044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | R115849 (MD) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1295005973
Samson A. Omotosho's National Provider Identifier is 1295005973, issued on Jan 11, 2012. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Baltimore, MD. The record was last updated on Oct 1, 2025.