Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MUTIAT O. POPOOLA, NURSE PRACTITIONER
Active Sole ProprietorMUTIAT O. POPOOLA, NURSE PRACTITIONER is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in BRANDYWINE, Maryland. NPI 1477169936 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · BRANDYWINE, MD
Registration Details
- NPI Number
- 1477169936
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 21, 2020 (5.8928141549124 yrs)
- Last Updated
- Dec 21, 2020
- License
-
R205702 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15518 KENNETT SQUARE WAYBRANDYWINE, MD, 206136239Browse MD providers · Browse ZIP 20613
- Phone
- 2409883779
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in BRANDYWINE, MD
| Name | Credential | NPI |
|---|---|---|
| CARLSON NCHIAZEH NKEMNKENG | NP | 1770848871 |
| MR. CLARENCE MCNEIL JOHNSON JR. | CRNP-PMH | 1740755594 |
| OZICHUKWU AWUSAH | — | 1275225252 |
| CARINE TAJOCHA AMIN | PMHNP | 1518724145 |
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.