Healthcare Provider Details

I. General information

NPI: 1649511973
Provider Name (Legal Business Name): NESBURG INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2013
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 WILKENS AVENUE SUITE 302
BALTIMORE MD
21229
US

IV. Provider business mailing address

3350 WILKENS AVENUE SUITE 302
BALTIMORE MD
21229
US

V. Phone/Fax

Practice location:
  • Phone: 443-722-0954
  • Fax:
Mailing address:
  • Phone: 410-800-4572
  • Fax: 410-286-1923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ABIOLA OBATUASE
Title or Position: OWNER
Credential: NP
Phone: 443-722-0954