Tolulope Ajifowobaje, R.N

Individual provider Active NPI Registered Nurse · Cockeysville, MD

NPI 1508153446 · NPPES record last updated Jun 29, 2011

Key facts

NPI
1508153446
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RA187920 (MD)
Practice address
319 Limestone Valley Dr
Apt D
Cockeysville, MD 21030-4512
Phone
(443) 742-7414
NPI assigned
Jun 29, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RA187920MDMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RA187920 MD Yes

Addresses

Primary practice location

319 Limestone Valley Dr
Apt D
Cockeysville, MD 21030-4512

Mailing address

319 Limestone Valley Dr
Apt D
Cockeysville, MD 21030-4512
Phone (443) 742-7414

Other providers in Cockeysville, MD

All providers in Cockeysville, MD · Registered Nurse in Maryland

Sources for this page

Verify at the official NPI Registry.