Healthcare Provider Details

I. General information

NPI: 1144131632
Provider Name (Legal Business Name): FOLAKE FAWEHINMI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3025 SOLOMONS ISLAND RD
EDGEWATER MD
21037-1416
US

IV. Provider business mailing address

3025 SOLOMONS ISLAND RD
EDGEWATER MD
21037-1416
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR237257
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: