Mosoke, Henrietta
Mosoke, Henrietta is an sole proprietor health care provider with primary practice located at 415 Prairie Ct , Upper Marlboro MD 20774-5786. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Related Providers / Home Health Aide. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Mosoke, Henrietta can be contacted via phone (301) 281-1907.Contact Information
Primary practice address
415 Prairie Ct
Upper Marlboro MD 20774-5786
Phone: (301) 281-1907
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R1038649 | District of Columbia |
Nursing Service Related Providers / Home Health Aide | 374U00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R217639 | Maryland |
Profile Details
NPI number | 1073873576 |
---|---|
LBN Legal business name | Mosoke, Henrietta |
Credentials | PMHNP-BC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 18th, 2012 |
Last updated | Jan 3rd, 2024 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073873576 | NPPES |
District of Columbia | MEDICAID | 1073873576 |
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