Provider Demographics
NPI:1376124420
Name:BAYOH-SENSIE, MASERAY
Entity Type:Individual
Prefix:
First Name:MASERAY
Middle Name:
Last Name:BAYOH-SENSIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 RIVER CRESCENT DR
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7721
Mailing Address - Country:US
Mailing Address - Phone:410-224-8142
Mailing Address - Fax:
Practice Address - Street 1:4000 RIVER CRESCENT DR
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7721
Practice Address - Country:US
Practice Address - Phone:410-224-8142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-20
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR215559363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health