NPI 1508423351 · live from the CMS NPI Registry
Mary Dayo Adebowale
Student in an Organized Health Care Education/Training Program in Hollywood, MD. National Provider Identifier 1508423351, active.
NPI record
| NPI | 1508423351 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Student in an Organized Health Care Education/Training Program 390200000X |
| Practice location | 24035 Three Notch Rd, Hollywood, MD 20636 |
| Practice phone | 301-373-7900 |
| Mailing address | 14 Holly Hill Ln, Portsmouth, VA 23702 |
| Enumerated | May 28, 2019 |
| Last updated | January 18, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | R224585 (MD) |
| Student in an Organized Health Care Education/Training Program primary | 390200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.