Provider Demographics
NPI:1396376075
Name:OSHIN, ABIOLA (CRNP)
Entity Type:Individual
Prefix:
First Name:ABIOLA
Middle Name:
Last Name:OSHIN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 GREENLEAF RD
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-3369
Mailing Address - Country:US
Mailing Address - Phone:410-615-3877
Mailing Address - Fax:
Practice Address - Street 1:3004 AILSA AVE STE E
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21214-2968
Practice Address - Country:US
Practice Address - Phone:410-941-8212
Practice Address - Fax:410-941-8244
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-30
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR208018363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily