Individual
MRS. VICTORIA A OLANIYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17106 BIRCH LEAF TER, BOWIE, MD 20716-3637
(301) 219-5202
Mailing address
17106 BIRCH LEAF TER, BOWIE, MD 20716-3637
(301) 219-5202
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1013365
DC
363L00000X
Nurse Practitioner
Primary
NP1013365
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R180887
MD
Other
Enumeration date
06/26/2023
Last updated
09/04/2024
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