Doctor Name: | MS. AUGUSTINA OLAJUMOKE OPEEWE-OJO |
NPI Number: | 1457535437 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | RN1010097 |
Business Practice Address: | 3627 Old Milford Mill Rd Windsor Mill, MD - 212443725 |
Business Phone Number: | 4432713013 |
Business Fax Number: | 4106552138 |
Mailing Address: | 3627 Old Milford Mill Rd, WINDSOR MILL |
State: | MD |
Postal Code: | 212443725 |
Phone Number: | 4432713013 |
Fax Number: | 4106552138 |
NPI Enumeration Date: | 12/26/2007 |
NPI Last Update Date: | 12/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | RN1010097 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |