Individual provider · Type 1 NPI

Clementina Olusoga, NP

Nurse Practitioner · Sparks, MD

NPI number 1417703117 Active

Practice location

909 Ridgebrook Rd Ste 300
Sparks, MD 21152-9477

Call (301) 377-8431 Map

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X987724651 (MD)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1417703117

Clementina Olusoga, NP's National Provider Identifier is 1417703117, issued on Apr 24, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sparks, MD. The record was last updated on Jul 10, 2024.