MEDICARE: KATE OJEYINKA CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	R190052	MD

General Provider Information

NPI Number	:	1932655156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATE OJEYINKA CRNP

Provider Business Mailing Address
First Line	:	4209 QUANDERS PROMISE DR
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20720-4693
Country	:	US
Telephone Number	:	443-985-9875
Fax Number	:

Provider Business Practice Location Address
First Line	:	18101 PRINCE PHILIP DR
Second Line	:
City	:	OLNEY
State	:	MD
Zip	:	20832-1514
Country	:	US
Telephone Number	:	301-570-7400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2016
Last Update Date	:	01/12/2026

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Directions to “ KATE OJEYINKA CRNP” Practice Location

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