Individual
MRS. OLASUNMBO I FEYISETAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
6095 MARSHALEE DR, ELKRIDGE, MD 21075
(443) 761-7049
Mailing address
6095 MARSHALEE DR, SUITE 100, ELKRIDGE, MD 21075-6053
(443) 761-7049
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R182535
MD
Other
Enumeration date
04/04/2016
Last updated
03/09/2017
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