Monique Bruton, FNP | |
7131 Liberty Rd, Gwynn Oak, MD 21207-4575 | |
(443) 985-0369 | |
Not Available |
Full Name | Monique Bruton |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 7131 Liberty Rd, Gwynn Oak, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558919845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R185902 (Maryland) | Secondary |
363L00000X | Nurse Practitioner | R185902 (Maryland) | Primary |
Entity Name | Greater Baltimore Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891855763 PECOS PAC ID: 1759276975 Enrollment ID: O20040217000852 |
Mailing Address | Practice Location Address |
---|---|
Monique Bruton, FNP 415 Crain Hwy S, Glen Burnie, MD 21061-3644 Ph: (443) 985-0369 | Monique Bruton, FNP 7131 Liberty Rd, Gwynn Oak, MD 21207-4575 Ph: (443) 985-0369 |
Grace Mbakop, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7131 Liberty Rd Ste 100, Gwynn Oak, MD 21207 Phone: 443-200-5338 Fax: 443-200-5261 | |
Mrs. Jasmyn Renee Berkley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5524 Wesley Ave, Gwynn Oak, MD 21207 Phone: 444-204-4549 | |
Bola D Osunkiyesi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6239 Seton Hills Ln, Gwynn Oak, MD 21207 Phone: 443-469-9528 | |
Gibrilla Mustapha Sannoh, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7131 Liberty Rd Ste 100, Gwynn Oak, MD 21207 Phone: 443-200-5338 | |
Sakirat Bukola Raheem, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7131 Liberty Rd, Gwynn Oak, MD 21207 Phone: 443-200-5338 | |
Tavon Todd, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6509 Windsor Mill Rd, Gwynn Oak, MD 21207 Phone: 410-777-3978 |