Provider Demographics
NPI:1760887517
Name:ALLI, FLORENCE OLURANTI (FNP/PMHNP)
Entity Type:Individual
Prefix:MRS
First Name:FLORENCE
Middle Name:OLURANTI
Last Name:ALLI
Suffix:
Gender:F
Credentials:FNP/PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13870 GEORGIA AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-2924
Mailing Address - Country:US
Mailing Address - Phone:301-871-6400
Mailing Address - Fax:
Practice Address - Street 1:7067 COLUMBIA GATEWAY DR STE 180
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-3408
Practice Address - Country:US
Practice Address - Phone:410-929-7225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-22
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD124276363LF0000X
MDR124276363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily