OLUBUNMI FAJUYIGBE


Address: 4515 Edson Pl Ne, Washington, DC 20019
Phone: 2027485430

OLUBUNMI FAJUYIGBE (NPI# 1043655137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043655137
Entity Type Individual
Full Name OLUBUNMI FAJUYIGBE
Other Name OLUBUNMI AKINSANYA
Credential FNP
Practice Address 4515 Edson Pl Ne
Washington
DC 20019
Mailing Address 1100 New Jersey Ave Se Ste 500
Washington
DC 20003-3326
Practice Telephone 2027485430
Practice Fax Number 2025443783
Mailing Telephone 2027157900
Enumeration Date 2013-05-03
Last Update Date 2019-08-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R182651 MD Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
6095 Marshalee Dr, Elkridge, MD 210756053 2405652035

Office Location

Street Address 4515 EDSON PL NE
City WASHINGTON
State DC
Zip Code 20019

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598025694 Volunteers of America Chesapeake, Inc. Intermediate Care Facility, Mentally Retarded 4515 Edson Pl Ne, Washington, DC 20019-4768 2012-05-22
1497302699 Unity Health Care, Inc Clinic/Center 4515 Edson Pl Ne, Washington, DC 20019-4768 2019-08-22

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1649877416 Rachel Maurine Caudle Nurse Practitioner 1504 Kern Rd, Washington, IL 61571-2318 2020-10-05
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Competitor

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City WASHINGTON
Zip Code 20019

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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