Individual
MRS. EDITH OGUNSANYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8713 MULBERRY ST, LAUREL, MD 20707-4916
(301) 362-1117
Mailing address
8713 MULBERRY ST, LAUREL, MD 20707-4916
(240) 429-1074
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
R174346
MD
363LG0600X
Gerontology Nurse Practitioner
R174346
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R174346
MD
Other
Enumeration date
05/11/2011
Last updated
01/08/2024
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