NPI 1972140242 · live from the CMS NPI Registry
Abisola Omowumi Alade, CRNP
Family Medicine, Adult Medicine in Randallstown, MD. National Provider Identifier 1972140242, active.
NPI record
| NPI | 1972140242 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Adult Medicine 207QA0505X |
| Practice location | 9312 Silver Charm Dr, Randallstown, MD 21133 |
| Practice phone | 443-743-4699 |
| Enumerated | December 5, 2019 |
| Last updated | December 5, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Adult Medicine primary | 207QA0505X | R213260 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.