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Individual

ADEOLA RITA OMORUYI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
901 HARRY S TRUMAN DR N, LARGO, MD 20774-5477
(240) 677-1000
Mailing address
11305 OLD PROSPECT HILL RD, GLENN DALE, MD 20769-9423
(240) 354-9483

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R231913
MD
163W00000X
Registered Nurse
RN200006296
DC
363L00000X
Nurse Practitioner
Primary
R231913
MD

Other

Enumeration date
02/26/2024
Last updated
04/17/2025
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