Healthcare Provider Details

I. General information

NPI: 1518876119
Provider Name (Legal Business Name): DAINA ADEBAYO-LEWIS DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7033 BANBURY DR
HANOVER MD
21076-2117
US

IV. Provider business mailing address

7033 BANBURY DR
HANOVER MD
21076-2117
US

V. Phone/Fax

Practice location:
  • Phone: 240-883-8112
  • Fax:
Mailing address:
  • Phone: 240-883-8112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR197647
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: