Ajayi, Omodele Modupe

Ajayi, Omodele Modupe is an individual health care provider with primary practice located at 8160 Glen Arbor Dr , Rosedale MD 21237-3373. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ajayi, Omodele Modupe can be contacted via phone (443) 356-7128.

Contact Information

Primary practice address
8160 Glen Arbor Dr Rosedale MD 21237-3373
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R193595 Maryland

Profile Details

NPI number 1184311953
LBN Legal business name Ajayi, Omodele Modupe
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2023
Last updated Apr 20th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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