Bola Hannah Rodoye, NP-C
Nurse Practitioner, Family in Fort Meade, MD. Individual provider (NPI-1).
NPI number1982153458
StatusActive
Last updated in NPPESMay 3, 2024
Details
- NPI
- 1982153458
- Entity type
- Individual (NPI-1)
- Name
- Bola Hannah Rodoye
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 26, 2016
- Certification date
- May 3, 2024
- Last updated
- May 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R176300 | MD | Yes |
| 163W00000X | Registered Nurse | R176300 | MD | |
| 207Q00000X | Family Medicine | R176300 | MD |
Practice location
2480 Llewellyn AveFort Meade, MD 20755-7081
Phone 240-478-3084
Mailing address
2480 Llewellyn AveFort Meade, MD 20755-5129
Phone 301-677-8341
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