FUNMILAYO OLUWOLE


Address: 6000 Bellona Ave, Baltimore, MD 21212-2922
Phone: 4438159873

FUNMILAYO OLUWOLE (NPI# 1780115345) 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) 1780115345
Entity Type Individual
Full Name FUNMILAYO OLUWOLE
Credential FNP
Practice Address 6000 Bellona Ave
Baltimore
MD 21212-2922
Mailing Address 7250 Parkway Drive Suite 500
Hanover
MD 21076
Practice Telephone 4438159873
Mailing Telephone 4438159873
Enumeration Date 2017-03-24
Last Update Date 2017-05-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R156972 MD Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
5221 Harford Rd, Baltimore, MD 212142622 4438159873

Office Location

Street Address 6000 BELLONA AVE
City BALTIMORE
State MD
Zip Code 21212-2922

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033150974 Meridian Edgewood Lp Skilled Nursing Facility 6000 Bellona Ave, Baltimore, MD 21212-2922 2006-06-10
1164021267 Atiera Skinner Physical Therapy Assistant 6000 Bellona Ave, Baltimore, MD 21212-2922 2020-10-20
1669070140 Jessica Sobul Occupational Therapist 6000 Bellona Ave, Baltimore, MD 21212-2922 2020-10-15
1619575313 Maritess Sutton Physical Therapy Assistant 6000 Bellona Ave, Baltimore, MD 21212-2922 2020-10-14
1053765438 6000 Bellona Avenue Operations LLC Occupational Therapist 6000 Bellona Ave, Baltimore, MD 21212-2922 2016-04-21
1780072363 Lauren Morley Speech-Language Pathologist 6000 Bellona Ave, Baltimore, MD 21212-2922 2015-01-05
1003242041 Stephanie B. Miller Occupational Therapist 6000 Bellona Ave, Baltimore, MD 21212-2922 2013-09-23
1710310511 Jenna Bonneau Physical Therapist 6000 Bellona Ave, Baltimore, MD 21212-2922 2013-08-15
1205169794 Karyn Ashley Rebstock Physical Therapy Assistant 6000 Bellona Ave, Baltimore, MD 21212-2922 2009-09-15
1598947061 6000 Bellona Avenue Operations LLC Skilled Nursing Facility 6000 Bellona Ave, Baltimore, MD 21212-2922 2007-11-27
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NPI Name Taxonomy Address Enumeration
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1063927622 Janice Furst Psychologist 421 Old Trail, Baltimore, MD 21212 2017-12-05
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1639608037 Christina Joy Antolick Behavior Technician 1007 Lenton Ave, Baltimore, MD 21212 2017-06-08
1902359979 Miriam Trader Speech-Language Pathologist 500 Overbrook Road, Baltimore, MD 21212 2016-07-26
1497137269 Candy Carter Social Worker 5900 York Rd Ste 108, Baltimore, MD 21212 2015-06-29
1053703298 Cathryne L. Maciolek, Psy.d., LLC Psychologist 540 E. Belvedere Avenue, Suite 203, Baltimore, MD 21212 2015-02-25
1891034831 Ashley Martin Social Worker 6401 York Road Third Floor, Towson, MD 21212 2013-02-12
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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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1750996930 Ashley Tyisha Sydnor Nurse Practitioner 2202 Park Ave Unit 302, Baltimore, MD 21217-4868 2020-09-14
1750992293 Samantha Rodriguez Nurse Practitioner 3989 Boston St, Baltimore, MD 21224-5759 2020-08-10
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1417580168 Tiwalola Olabisi Akinsade Nurse Practitioner 1496 Reisterstown Rd Ste 220, Baltimore, MD 21208-3819 2020-02-20
1457996688 Lashawn S Scott Nurse Practitioner 301 Saint Paul Pl Ste 409, Baltimore, MD 21202-2165 2019-11-12
1740825041 Rosemary Lokko Nurse Practitioner 2431 Jefferson St, Baltimore, MD 21205-2543 2019-11-10
1881237972 Jennifer Lillian Mothershed Nurse Practitioner 9101 Franklin Square Dr Ste 212, Baltimore, MD 21237-3948 2019-10-22
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Competitor

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City BALTIMORE
Zip Code 21212

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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