Individual provider · NPI-1
Oluyinka O Akinbobola, FNP
Nurse Practitioner, Family · Catonsville, MD
NPI number1649984436
StatusActive
Last updated in NPPESJan 6, 2023
Details
- NPI
- 1649984436
- Entity type
- Individual (NPI-1)
- Name
- Mr. Oluyinka O Akinbobola
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 6, 2023
- Certification date
- Jan 6, 2023
- Last updated
- Jan 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R239820 | MD | Yes |
Practice location
800 Ingleside Ave Ste C1Catonsville, MD 21228-1722
Phone 240-421-1597
Mailing address
101 Richard AveSevern, MD 21144-3353
Phone 240-421-1597
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