Individual provider · Type 1 NPI
Mutiat O. Popoola, NURSE PRACTITIONER
Nurse Practitioner · Brandywine, MD
Practice location
15518 Kennett Square Way
Brandywine, MD 20613-6239
Mailing address
337 Brightseat Rd Ste 201
Hyattsville, MD 20785-4736
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R205702 (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…
Other nurse practitioner providers in Brandywine
About NPI 1477169936
Mutiat O. Popoola, NURSE PRACTITIONER's National Provider Identifier is 1477169936, issued on Sep 21, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Brandywine, MD. The record was last updated on Sep 2, 2026.