# RWA INNOVATIVE PROVIDERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063023893
- **Authorized official:** DR. RUKAYAT OLUWADAMILOLA BOJUWON NURSE PRACTITIONER (ADMINISTRATOR)
- **Authorized official phone:** (202) 494-2582

## Contact information

- **Practice address:** 700 PENNSYLVANIA AVE SE STE 2087, WASHINGTON, DC 20003-2493
- **Practice address phone:** (202) 408-7609
- **Practice address fax:** (202) 403-3861
- **Mailing address:** PO BOX 1706, WASHINGTON, DC 20013-1706
- **Mailing address phone:** (202) 408-7609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/14/2020
- **Last updated:** 10/05/2023