Individual
BOLA HANNAH RODOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2480 LLEWELLYN AVE, FORT MEADE, MD 20755-7081
(240) 478-3084
Mailing address
2480 LLEWELLYN AVE, FORT MEADE, MD 20755-5129
(301) 677-8341
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R176300
MD
207Q00000X
Family Medicine Physician
R176300
MD
363LF0000X
Family Nurse Practitioner
Primary
R176300
MD
Other
Enumeration date
09/26/2016
Last updated
05/03/2024
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