Apassa, Modupe A.
Apassa, Modupe A. is an individual health care provider with primary practice located at 13932 Baltimore Ave , Laurel MD 20707-5000. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Apassa, Modupe A. can be contacted via phone (240) 929-4521.Contact Information
Primary practice address
13932 Baltimore Ave
Laurel MD 20707-5000
Phone: (240) 929-4521
Fax: (240) 334-2091
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 0024169744 | Virginia |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 15682 | California |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R125193 | Maryland |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R125193 | Maryland |
Profile Details
NPI number | 1427069418 |
---|---|
LBN Legal business name | Apassa, Modupe A. |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 11th, 2006 |
Last updated | Mar 25th, 2020 - about 5 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1427069418 | NPPES |
California | MEDICAID | 0056820 |
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