| Doctor Name: | MODUPE TOGUN |
| NPI Number: | 1033340278 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP, FNP-BC |
| License Number: | R167650 |
| Business Practice Address: | 2324 N Rolling Rd Ste 101 Windsor Mill, MD - 212441953 |
| Business Phone Number: | 4102981931 |
| Business Fax Number: | 4102981932 |
| Mailing Address: | 2324 N Rolling Rd, Ste 101 WINDSOR MILL |
| State: | MD |
| Postal Code: | 212441953 |
| Phone Number: | 4102981931 |
| Fax Number: | 4102981932 |
| NPI Enumeration Date: | 08/06/2009 |
| NPI Last Update Date: | 08/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R167650 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |