Individual
OLUWATOYIN OMOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1818 NEW YORK AVE NE, WASHINGTON, DC 20002-1848
(202) 269-2401
Mailing address
1818 NEW YORK AVE NE STE 115, WASHINGTON, DC 20002-1851
(202) 269-2401
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN1029040
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN1029040
DC
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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