Provider Demographics
NPI:1255753489
Name:ALOBA, FOLAKE (CRNP)
Entity type:Individual
Prefix:
First Name:FOLAKE
Middle Name:
Last Name:ALOBA
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 1:2607 BOX TREE DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-9306
Mailing Address - Country:US
Mailing Address - Phone:120-236-1592
Mailing Address - Fax:
Practice Address - Street 1:3415 HAMILTON ST STE 6
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-3953
Practice Address - Country:US
Practice Address - Phone:301-363-0707
Practice Address - Fax:240-714-4733
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-07
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR189544363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health