ULRICA OLAYINKA MBAYO


Address: 3201 Orient Fishtail Rd, Laurel, MD 20724-2931
Phone: 2404266968

ULRICA OLAYINKA MBAYO (NPI# 1215552302) 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) 1215552302
Entity Type Individual
Full Name ULRICA OLAYINKA MBAYO
Practice Address 3201 Orient Fishtail Rd
Laurel
MD 20724-2931
Practice Telephone 2404266968
Mailing Telephone 2404266968
Enumeration Date 2020-06-15
Last Update Date 2020-06-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

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

Office Location

Street Address 3201 ORIENT FISHTAIL RD
City LAUREL
State MD
Zip Code 20724-2931

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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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Competitor

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City LAUREL
Zip Code 20724

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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