Individual
TRACY OJENIYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
11890 HEALING WAY, SILVER SPRING, MD 20904-7917
(240) 637-4000
Mailing address
851 TRAFALGAR CT STE 200E, MAITLAND, FL 32751-7420
(407) 667-0444
(407) 667-4338
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1007894
DC
367500000X
Certified Registered Nurse Anesthetist
Primary
R184724
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MD
Enumeration date
05/15/2013
Last updated
08/19/2020
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