Mosunmola Sandra Lake, DNP, PMHNP-BC
Mosunmola Sandra Lake, DNP, PMHNP-BC is a Nurse Practitioner in Berwyn Heights, Maryland. Qualified in 2015, 11 years ago. Practices with Nimel Mental Health, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.
- Years since qualifying
- 11
- Licensed in
- MD
- In the registry since
- 2017
What do these letters mean?
Practice location Address checks out
6215 Greenbelt Rd Ste 107Berwyn Heights, MD 20740-2355
Phone: (301) 272-1558
Fax: (301) 272-1559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 10801 Green Ash Ln, Beltsville, MD 20705-3851 — (301) 263-4890
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence R191756 (MD) |
|---|
Record details
| NPI number | 1275050288 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DNP , PMHNP-BC |
| Sole proprietor | Yes |
| NPI enumerated | August 29, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Certification date | September 24, 2020 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Nimel Mental Health — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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Able Behavioral Health, LLC
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Justin Johnson
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Maryland Health and Wellness Solution LLC
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Probity Healthcare Services & Clinic, LLC
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