Apassa, Modupe A.

Apassa, Modupe A. is an individual health care provider with primary practice located at 13932 Baltimore Ave , Laurel MD 20707-5000. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Apassa, Modupe A. can be contacted via phone (240) 929-4521.

Contact Information

Primary practice address
13932 Baltimore Ave Laurel MD 20707-5000
Phone: (240) 929-4521
Fax: (240) 334-2091
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024169744 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 15682 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R125193 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R125193 Maryland

Profile Details

NPI number 1427069418
LBN Legal business name Apassa, Modupe A.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Mar 25th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427069418 NPPES
California MEDICAID 0056820

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