Individual provider · Type 1 NPI

Olukemi Roseline Omogoke, MD

Psychiatric/Mental Health Nurse Practitioner · Severna Park, MD

NPI number 1801365689 Active

Practice location

650 Ritchie Hwy Ste 207
Severna Park, MD 21146-3935

Call (410) 315-9350 Map

Fax (410) 421-9135

Mailing address

12804 Greenes Promise Ct
Bowie, MD 20720-5613

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XR207593 (MD)

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

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About NPI 1801365689

Olukemi Roseline Omogoke, MD's National Provider Identifier is 1801365689, issued on Nov 21, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Severna Park, MD. The record was last updated on Mar 26, 2021.