IndividualActive
Abimbola Shadare
NPI 1508559675 · Psychiatric/Mental Health Nurse Practitioner · Upper Marlboro, MD
Provider details
- NPI number
- 1508559675
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- NP1042439 (DC)
Practice location
4312 Arabella Ct
Upper Marlboro, MD 20772-9343
Phone: (240) 593-2260
Mailing address
4312 Arabella Ct
Upper Marlboro, MD 20772-9343
Registry dates
- Enumerated
- 2023-06-02
- Last updated
- 2025-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.