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Organization
RWA INNOVATIVE PROVIDERS LLC
Active
Organization
RWA INNOVATIVE PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUKAYAT OLUWADAMILOLA BOJUWON NURSE PRACTITIONER (ADMINISTRATOR)
(202) 494-2582
Entity
Organization
Contact information
Practice address
700 PENNSYLVANIA AVE SE STE 2087, WASHINGTON, DC 20003-2493
(202) 408-7609
(202) 403-3861
Mailing address
PO BOX 1706, WASHINGTON, DC 20013-1706
(202) 408-7609
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/14/2020
Last updated
10/05/2023
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