Individual provider · Type 1 NPI
Abimbola Shadare
Psychiatric/Mental Health Nurse Practitioner · Upper Marlboro, MD
NPI number
1508559675
Active
Practice location
4312 Arabella Ct
Upper Marlboro, MD 20772-9343
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | NP1042439 (DC) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1508559675
Abimbola Shadare's National Provider Identifier is 1508559675, issued on Jun 2, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Upper Marlboro, MD. The record was last updated on Mar 4, 2025.