Individual provider · NPI-1

Bolanle Akinrebiyo

Nurse Practitioner, Family · Laurel, MD

NPI number1043925837
StatusActive
Last updated in NPPESJan 17, 2023

Details

NPI
1043925837
Entity type
Individual (NPI-1)
Name
Bolanle Akinrebiyo
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 17, 2023
Certification date
Jan 17, 2023
Last updated
Jan 17, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family2022069367MDYes

Practice location

10133 Summer Glow Walk
Laurel, MD 20723-5876

Phone 202-631-7228

Mailing address

10133 Summer Glow Walk
Laurel, MD 20723-5876

Phone 202-631-7228

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