Individual
AJIBOLA IBIRONKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 HOSPITAL DR, CHEVERLY, MD 20785-1189
(301) 618-2000
Mailing address
3001 HOSPITAL DR, CHEVERLY, MD 20785-1189
(301) 618-2000
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
RN1016618
DC
363LA2100X
Acute Care Nurse Practitioner
Primary
R186200
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N96444
CDS
MD
Enumeration date
09/15/2014
Last updated
06/06/2019
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