Provider Demographics
NPI:1750898037
Name:SHOWUNMI, ABIBAT B
Entity type:Individual
Prefix:
First Name:ABIBAT
Middle Name:B
Last Name:SHOWUNMI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1602A BRIGHTSEAT RD APT 102
Mailing Address - Street 2:
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-3783
Mailing Address - Country:US
Mailing Address - Phone:202-531-9548
Mailing Address - Fax:
Practice Address - Street 1:1602A BRIGHTSEAT RD APT 102
Practice Address - Street 2:
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-3783
Practice Address - Country:US
Practice Address - Phone:202-531-9548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-08
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant