Provider Demographics
NPI:1588329460
Name:OGUNRINDE, OLUWATOBI FATIMA (NP)
Entity type:Individual
Prefix:
First Name:OLUWATOBI
Middle Name:FATIMA
Last Name:OGUNRINDE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:OLUWATOBI
Other - Middle Name:
Other - Last Name:FASHOLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9507 LIVINGSTON RD
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-4919
Mailing Address - Country:US
Mailing Address - Phone:240-273-1224
Mailing Address - Fax:
Practice Address - Street 1:9507 LIVINGSTON RD
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-4919
Practice Address - Country:US
Practice Address - Phone:240-273-1224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-04
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR247293363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily