Individual provider · Type 1 NPI
Olatunji Ismail Iberu-Olushoga, CRNP
Family Nurse Practitioner · Severn, MD
NPI number
1104497841
Active
Practice location
1509 Fitzpatrick Dr
Severn, MD 21144-3142
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R214785 (MD) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1104497841
Olatunji Ismail Iberu-Olushoga, CRNP's National Provider Identifier is 1104497841, issued on Jul 4, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Severn, MD. The record was last updated on Jul 4, 2021.