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Individual

OLADUNNI AYANRU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15195 HEATHCOTE BLVD STE 140, HAYMARKET, VA 20169-6243
(571) 284-4370
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(703) 722-5840
(703) 327-4491

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024175591
VA
363LF0000X
Family Nurse Practitioner
0024175591
VA
363LP2300X
Primary Care Nurse Practitioner
0024175591
VA

Other

Enumeration date
12/21/2017
Last updated
10/26/2020
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