# PROLORD HEALTHCARE AND NURSING SERVICES

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

## Provider details

- **NPI number:** 1205429131
- **Authorized official:** OLUSEYI SOFOLUWE CRNP (OWNER)
- **Authorized official phone:** (301) 675-3270

## Contact information

- **Practice address:** 13110 3RD ST, BOWIE, MD 20720-3745
- **Practice address phone:** (301) 675-3270
- **Practice address fax:** (240) 202-3783
- **Mailing address:** 13110 3RD ST, BOWIE, MD 20720-3745
- **Mailing address phone:** (301) 675-3270
- **Mailing address fax:** (240) 202-3783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/11/2021
- **Last updated:** 02/11/2021