Modinat Oluwatoyin Fagbenro, PMHNP-BC
NPI #1063061034 in Lutherville Timonium, Maryland
Provider Information
- NPI Number
- 1063061034
- Entity Type
- Individual
- Name
- Modinat Oluwatoyin Fagbenro, PMHNP-BC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- PMHNP-BC
- Enumeration Date
- Sep 11, 2019
- Last Updated
- Jan 20, 2026
Practice Location
- Address
- 22 W PADONIA RD STE C252
- State
- Maryland
- ZIP Code
- 21093-2241
- Phone
- (410) 768-6088
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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