Healthcare Provider Details

I. General information

NPI: 1750943650
Provider Name (Legal Business Name): TOYIN ATOKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2019
Last Update Date: 07/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 SPRINGTIDE CT
BALTIMORE MD
21220-2374
US

IV. Provider business mailing address

21 SPRINGTIDE CT
BALTIMORE MD
21220-2374
US

V. Phone/Fax

Practice location:
  • Phone: 443-454-0888
  • Fax:
Mailing address:
  • Phone: 443-454-0888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberR218274
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: