Christianah T Olufade, | |
4920 Niagara Rd Ste 107, College Park, MD 20740-1121 | |
(301) 755-7685 | |
Not Available |
Full Name | Christianah T Olufade |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 4920 Niagara Rd Ste 107, College Park, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225650872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R185400 (Maryland) | Primary |
Entity Name | Breathe Freely Behavioral Health Systems, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407436330 PECOS PAC ID: 8325438005 Enrollment ID: O20211213000959 |
Mailing Address | Practice Location Address |
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Christianah T Olufade, 4920 Niagara Rd Ste 107, College Park, MD 20740-1121 Ph: (301) 755-7685 | Christianah T Olufade, 4920 Niagara Rd Ste 107, College Park, MD 20740-1121 Ph: (301) 755-7685 |
Jessica De Grasse, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6201 Greenbelt Road, Suite L1, College Park, MD 20740 Phone: 301-346-1900 | |
Dr. Deborah Ekighalo Okonofua, FNP, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7100 Baltimore Ave Ste 510, College Park, MD 20740 Phone: 240-467-5739 Fax: 240-467-5795 | |
Kabrima Y Petty, DNP, APRN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10201 Baltimore Ave Apt 5102, College Park, MD 20740 Phone: 202-537-1587 | |
Grace Okhuereigbe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7100 Baltimore Ave Ste 510, College Park, MD 20740 Phone: 301-875-5511 | |
Mrs. Charlyn Tupaz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4701 Melbourne Pl, College Park, MD 20740 Phone: 301-450-5631 | |
Marilyn L Holloman, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4700 Berwyn House Rd, Suite 101, College Park, MD 20740 Phone: 301-441-3722 Fax: 301-441-2774 | |
Dr. Adedayo Adekemisola Ekundayo, PHD CRNP CCRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7309 Baltimore Ave Ste 220, College Park, MD 20740 Phone: 301-892-6296 Fax: 301-746-0551 |