Individual
MR. OLUMIDE ANTHONY AKINYEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
3149 W SPRINGS DR APT F, ELLICOTT CITY, MD 21043-2952
(443) 570-3452
Mailing address
11093 S W MEMORIAL DRIVE, BOWLING GREEN, VA 22427
(804) 633-0043
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R183165
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021105176
AMERICAN NURSES CREDENTIALING CENTER
MD
01
—
R183165
MARYLAND BOARD OF NURSING
MD
Enumeration date
12/01/2021
Last updated
12/01/2021
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