Individual provider · Type 1 NPI

Ololade Ikuomola, NP-C

Primary Care Nurse Practitioner · Baltimore, MD

NPI number 1114457421 Active

Practice location

1124 Mace Ave
Baltimore, MD 21221-3315

Fax (410) 687-6877

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XR201929 (MD)

Primary Care Nurse Practitioner: Definition to come...

23 other providers at this address

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About NPI 1114457421

Ololade Ikuomola, NP-C's National Provider Identifier is 1114457421, issued on Jun 19, 2017. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Baltimore, MD. The record was last updated on Jul 21, 2022.