MEDICARE: FOLAKE ALOBA CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R189544	MD

General Provider Information

NPI Number	:	1255753489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FOLAKE ALOBA CRNP

Provider Business Mailing Address
First Line	:	2607 BOX TREE DR
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-9306
Country	:	US
Telephone Number	:	120-236-1592
Fax Number	:

Provider Business Practice Location Address
First Line	:	3415 HAMILTON ST STE 6
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20782-3953
Country	:	US
Telephone Number	:	301-363-0707
Fax Number	:	240-714-4733

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2014
Last Update Date	:	12/08/2025

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