OYEBISI IFEOLUWA-ENIOLA OLANREWAJU


Address: 14804 Physicians Ln Ste 121, Rockville, MD 20850-3912
Phone: 3016106630

OYEBISI IFEOLUWA-ENIOLA OLANREWAJU (NPI# 1982119376) 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) 1982119376
Entity Type Individual
Full Name OYEBISI IFEOLUWA-ENIOLA OLANREWAJU
Practice Address 14804 Physicians Ln Ste 121
Rockville
MD 20850-3912
Practice Telephone 3016106630
Mailing Telephone 3016106630
Enumeration Date 2017-12-06
Last Update Date 2017-12-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AC002131 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 14804 PHYSICIANS LN STE 121
City ROCKVILLE
State MD
Zip Code 20850-3912

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134686017 Better Life Pain Clinic, Pllc Clinic/Center 14804 Physicians Ln Ste 121, Rockville, MD 20850-3912 2019-02-27

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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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1790242493 Annette M Jamison Nurse Practitioner 50 W Gude Dr Ste 46b, Rockville, MD 20850-1150 2019-02-28
1548727811 Erica Michelle Moreland Nurse Practitioner 10110 Molecular Dr Ste 114, Rockville, MD 20850-7538 2019-02-22
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1366945016 Hannah Hyekyung Lee Nurse Practitioner 2401 Research Blvd Ste 330, Rockville, MD 20850-6255 2018-03-08
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Competitor

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City ROCKVILLE
Zip Code 20850

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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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