Individual
FOLORUNSO IBRAHEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, MBBS, CFNP
Contact information
Practice address
7760 LANDOVER RD, HYATTSVILLE, MD 20785-2135
(305) 776-9911
(301) 798-9901
Mailing address
2312 PARKSIDE DR, BOWIE, MD 20721-4223
(302) 985-2099
(949) 862-8021
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP 9193808
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I165-240-52-387-0
DRIVER LICENSE
FL
Enumeration date
04/21/2009
Last updated
12/23/2024
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