MODINAT FAGBENRO, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

Active Individual
NPI: 1063061034

Practice Address

22 W PADONIA RD STE C252
Lutherville Timonium, MD 21093

Phone: (410) 768-6088

Specialties

Specialty Code Primary License
Nurse Practitioner - Psychiatric/Mental Health 363LP0808X Yes R210603 (MD)

Frequently Asked Questions

NPI 1063061034 is the National Provider Identifier for MODINAT FAGBENRO, PMHNP-BC, a Nurse Practitioner - Psychiatric/Mental Health provider located in Lutherville Timonium, MD. This NPI was enumerated on September 11, 2019.
MODINAT FAGBENRO, PMHNP-BC practices at 22 W PADONIA RD STE C252, Lutherville Timonium, MD 21093.

Quick Facts

NPI
1063061034
Type
Individual
Enumerated
Sep 11, 2019
Last Updated
Jan 20, 2026

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