Provider Demographics
NPI:1679261432
Name:ADEGBEHINGBE, PAULINAH EMIKHE (NP)
Entity Type:Individual
Prefix:
First Name:PAULINAH
Middle Name:EMIKHE
Last Name:ADEGBEHINGBE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8337 STREAMWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-2111
Mailing Address - Country:US
Mailing Address - Phone:443-413-0538
Mailing Address - Fax:
Practice Address - Street 1:8337 STREAMWOOD DR
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-2111
Practice Address - Country:US
Practice Address - Phone:443-413-0538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-28
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR216000363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health