Individual provider · Type 1 NPI
Olukorede Gisanrin
Family Nurse Practitioner · Upper Marlboro, MD
NPI number
1548094840
Active
Practice location
9600 Marilyn Ivy Ct
Upper Marlboro, MD 20772-4509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R192641 (MD) |
| Registered Nurse | 163W00000X | R192641 (MD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1548094840
Olukorede Gisanrin's National Provider Identifier is 1548094840, issued on Aug 28, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Upper Marlboro, MD. The record was last updated on Sep 10, 2024.