Caroline Ibijemilusi
Nurse Practitioner, Primary Care in Lanham, MD. Individual provider (NPI-1).
NPI number1982188231
StatusActive
Last updated in NPPESFeb 13, 2025
Details
- NPI
- 1982188231
- Entity type
- Individual (NPI-1)
- Name
- Caroline Ibijemilusi
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 22, 2018
- Certification date
- Feb 13, 2025
- Last updated
- Feb 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | R160656 | MD | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | R160696 | MD |
Practice location
9470 Annapolis Rd Ste 402Lanham, MD 20706-3059
Phone 240-770-6689 · Fax 240-667-2190
Mailing address
9470 Annapolis Rd Ste 402Lanham, MD 20706-3059
Phone 240-770-6689 · Fax 240-667-2190
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Other Primary Care Nurse Practitioner providers in Lanham, MD
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All 5 Primary Care Nurse Practitioner providers in Lanham · All 3,434 providers in Lanham
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