Individual
OLANIRETI ONABANJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
9650 SANTIAGO RD STE 109, COLUMBIA, MD 21045-3958
(240) 732-1009
(240) 755-0102
Mailing address
9650 SANTIAGO RD STE 109, COLUMBIA, MD 21045-3958
(240) 732-1009
(240) 755-0102
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R208320
MD
363LF0000X
Family Nurse Practitioner
0024179218
VA
363LF0000X
Family Nurse Practitioner
Primary
R208320
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R208320
MD
Other
Enumeration date
05/22/2007
Last updated
05/06/2026
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