Olayinka Juliana Bodunrin
Individual provider Active NPI Nurse's Aide · Washington, DC
NPI 1114508249 · NPPES record last updated Apr 20, 2021
Key facts
- NPI
- 1114508249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- Practice address
- 1220 12TH St SE Ste 250
Washington, DC 20003-3729 - Phone
- (202) 846-6830
- NPI assigned
- Apr 20, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | Yes |
Addresses
Primary practice location
1220 12TH St SE Ste 250
Washington, DC 20003-3729
Mailing address
2420 Vermont Ave Apt 202
Hyattsville, MD 20785-3368
Phone (240) 548-7899
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.