Individual
MRS. ADETUTU OLUFUNMILAYO MARIOGHAE
Active
Individual
MRS. ADETUTU OLUFUNMILAYO MARIOGHAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
0024176630
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024176630
COMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH PROFESSION
VA
Enumeration date
04/03/2019
Last updated
01/19/2026
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