Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MOSUNMOLA SANDRA LAKE, DNP, PMHNP-BC
Active Sole ProprietorMOSUNMOLA SANDRA LAKE, DNP, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in BERWYN HEIGHTS, Maryland. NPI 1275050288 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · BERWYN HEIGHTS, MD
Registration Details
- NPI Number
- 1275050288
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 29, 2017 (8.9233852373355 yrs)
- Last Updated
- Jul 21, 2022
- License
-
R191756 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6215 GREENBELT RD STE 107BERWYN HEIGHTS, MD, 207402355Browse MD providers · Browse ZIP 20740
- Phone
- 3012721558
- Fax
- 3012721559
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in BERWYN HEIGHTS, MD
| Name | Credential | NPI |
|---|---|---|
| BECHEM VIVIAN ASAMEYONG | PMNP-BC, APNP , NP | 1801151089 |
| JUSTIN JOHNSON | — | 1770450892 |
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.