Individual
OLURANTI A OMOYENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP,CRNP
Contact information
Practice address
4940 EASTERN AVE, ALPHA COMMONS BUILDING, ST 105, BALTIMORE, MD 21224-2735
(410) 550-0477
(410) 550-0732
Mailing address
5801 SMITH AVE, SUITE, 210, BALTIMORE, MD 21209-3652
(410) 735-6665
(410) 735-6670
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R182449
MD
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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