| Doctor Name: | OLAYINKA ABIMBOLA IBITOYE |
| NPI Number: | 1588895411 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | R145692 |
| Business Practice Address: | 12200 Annapolis Rd Suite 232 Glenn Dale, MD - 207699182 |
| Business Phone Number: | 2402454414 |
| Business Fax Number: | 2402454409 |
| Mailing Address: | 14011 Westview Forest Dr, BOWIE |
| State: | MD |
| Postal Code: | 207204867 |
| Phone Number: | 3013524014 |
| Fax Number: | 2402454409 |
| NPI Enumeration Date: | 07/27/2009 |
| NPI Last Update Date: | 07/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | R145692 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |