Individual provider · Type 1 NPI

Samson Olowe, PRESIDENT/CEO

Licensed Practical Nurse · Upper Marlboro, MD

NPI number 1902272784 Active

Practice location

605 Avis Drive
Upper Marlboro, MD 20774

Call (301) 221-7553 Map

Fax (301) 324-0897

Mailing address

605 Avis Dr
Upper Marlboro, MD 20774-2283

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	LP34789 (MD)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1902272784

Samson Olowe, PRESIDENT/CEO's National Provider Identifier is 1902272784, issued on Aug 17, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Upper Marlboro, MD. The record was last updated on Aug 17, 2015.