Provider Demographics
NPI:1770968224
Name:OKUNDAYE, HELEN OMOLASHO (CRNP; PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:HELEN
Middle Name:OMOLASHO
Last Name:OKUNDAYE
Suffix:
Gender:F
Credentials:CRNP; PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1633 RENAISSANCE DR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21221-2624
Mailing Address - Country:US
Mailing Address - Phone:443-600-5477
Mailing Address - Fax:443-231-5397
Practice Address - Street 1:1633 RENAISSANCE DR
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21221-2624
Practice Address - Country:US
Practice Address - Phone:443-600-5477
Practice Address - Fax:443-231-5397
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-27
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR194865363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health