SearchMarylandPsychiatric/Mental Health Nurse Practitioner

Modinat Fagbenro, PMHNP-BC

NPI 1063061034 · on the registry since 2019 · sole proprietor

Practice

Address
22 W Padonia Rd Ste C252
Lutherville Timonium, MD 21093
Phone
(410) 768-6088
Fax
(410) 768-6444
Organisation at this address
Protelix Health Clinic
Protelix Health Clinic Llc
Gilead Health Services Llc
M&M Behavioral Health Systems
Ama Transitional Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Additional practice sites

  • 4105 Daylily Dr, Owings Mills, MD

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland