Peter Olusola Ige
Peter Olusola Ige is a Nurse Practitioner in Baltimore, Maryland. Qualified in 1981, 45 years ago. Practices with Paraview Behavioral Health, a 2-clinician group and accepts Medicare assignment. Licensed in Maryland.
- Years since qualifying
- 45
- Licensed in
- MD
- In the registry since
- 2019
Practice location Address checks out
5411 Old Frederick RdBaltimore, MD 21229-2195
Phone: (410) 762-8945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence R142898 (MD) |
|---|
Record details
| NPI number | 1164060943 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 12, 2019 |
| Last updated in NPPES | December 12, 2019 |
| Certification date | December 12, 2019 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 1981 (45 years in practice) |
| Group practice | Paraview Behavioral Health — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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