Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MODINAT OLUWATOYIN FAGBENRO, PMHNP-BC
Active Sole ProprietorMODINAT OLUWATOYIN FAGBENRO, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in LUTHERVILLE TIMONIUM, Maryland. NPI 1063061034 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · LUTHERVILLE TIMONIUM, MD
Registration Details
- NPI Number
- 1063061034
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 11, 2019 (6.8839055115736 yrs)
- Last Updated
- Jan 20, 2026
- License
-
R210603 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
22 W PADONIA RD STE C252LUTHERVILLE TIMONIUM, MD, 210932241Browse MD providers · Browse ZIP 21093
- Phone
- 4107686088
- Fax
- 4107686444
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in LUTHERVILLE TIMONIUM, MD
| Name | Credential | NPI |
|---|---|---|
| VICTORIA R HUDAK | CRNP | 1811249824 |
| EMMA CAROLINE MANGANO | PMH-NP | 1750716981 |
| ESTHER ANYATONWU | NP | 1245623198 |
| MRS. DARA VAUGHAN | CRNP | 1659899185 |
| MARIEL VERONICA OTTER | DNP, CRNP-MH | 1881204535 |
| DAVID MWANGI | — | 1932707171 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.