Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bowie Psychiatric Professional Associate LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1821705930

Bowie Psychiatric Professional Associate LLC is a Psychiatric/Mental Health Nurse Practitioner in Bowie, Maryland. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1007 Kings Heather Dr
Bowie, MD 20721-2010
Phone: (301) 648-9340
Fax: (301) 218-1090
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1821705930
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olaolu Fadairo — Ceo · (301) 648-9340
NPI enumeratedOctober 31, 2022
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026
Mailing address1007 Kings Heather Dr, Bowie, MD 20721-2010

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