Mosoke, Henrietta

Mosoke, Henrietta is an sole proprietor health care provider with primary practice located at 415 Prairie Ct , Upper Marlboro MD 20774-5786. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Related Providers / Home Health Aide. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Mosoke, Henrietta can be contacted via phone (301) 281-1907.

Contact Information

Primary practice address
415 Prairie Ct Upper Marlboro MD 20774-5786
Phone: (301) 281-1907
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R1038649 District of Columbia
Nursing Service Related Providers / Home Health Aide 374U00000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R217639 Maryland

Profile Details

NPI number 1073873576
LBN Legal business name Mosoke, Henrietta
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2012
Last updated Jan 3rd, 2024 - about 2 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 1073873576 NPPES
District of Columbia MEDICAID 1073873576

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