Individual
MOTUNRAYO OMOLOYE ADEGORUSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9210 CORPORATE BLVD STE 440, ROCKVILLE, MD 20850-6520
(240) 559-4838
(516) 518-0088
Mailing address
11112 PROSPECT HILL RD, GLENN DALE, MD 20769-9454
(240) 432-7017
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN1021767
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096680503
—
DC
05
—
30018367840001
—
VA
05
—
307187100
—
MD
01
—
CN221201613
CDS
DC
01
—
N92802
CDS
MD
Enumeration date
08/08/2018
Last updated
11/20/2025
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