Individual provider · Type 1 NPI
Adeola Rita Omoruyi, CRNP
Nurse Practitioner · Largo, MD
Practice location
901 Harry S Truman Dr N
Largo, MD 20774-5477
Mailing address
11305 Old Prospect Hill Rd
Glenn Dale, MD 20769-9423
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN200006296 (DC) |
| Registered Nurse | 163W00000X | R231913 (MD) |
| Nurse Practitioner Primary | 363L00000X | R231913 (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 1689430936
Adeola Rita Omoruyi, CRNP's National Provider Identifier is 1689430936, issued on Feb 26, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Largo, MD. The record was last updated on Apr 17, 2025.