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NPI Code Detail

MEDICARE: MRS. FLORENCE OLURANTI ALLI FNP/PMHNP

MEDICARE: MRS. FLORENCE OLURANTI ALLI FNP/PMHNP
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
1363LF0000XFamily Nurse Practitioner124276MD
2363LP0808XPsychiatric/Mental Health Nurse PractitionerR124276MD

General Provider Information

NPI Number : 1760887517
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. FLORENCE OLURANTI ALLI FNP/PMHNP
Provider Business Mailing Address
First Line : 13870 GEORGIA AVE
Second Line :
City : SILVER SPRING
State : MD
Zip : 20906-2924
Country : US
Telephone Number : 301-871-6400
Fax Number :
Provider Business Practice Location Address
First Line : 7067 COLUMBIA GATEWAY DR STE 180
Second Line :
City : COLUMBIA
State : MD
Zip : 21046-3408
Country : US
Telephone Number : 410-929-7225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2014
Last Update Date : 06/27/2024

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