Janet Bolanle Awoyemi
Individual provider Active NPI Nurse's Aide · Landover, MD
NPI 1336710508 · NPPES record last updated Jul 8, 2021
Key facts
- NPI
- 1336710508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- Practice address
- 3408 Dodge Park Rd Apt 104
Landover, MD 20785-2019 - Phone
- (240) 487-8775
- NPI assigned
- Jul 8, 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
3408 Dodge Park Rd Apt 104
Landover, MD 20785-2019
Mailing address
3408 Dodge Park Rd Apt 104
Landover, MD 20785-2019
Phone (240) 487-8775
Other providers in Landover, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 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.