Healthcare Provider Details

I. General information

NPI: 1881954808
Provider Name (Legal Business Name): OLUWATOYIN VICTORIA YUSUF RN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2012
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 TABARD LN
FREDERICK MD
21704-7385
US

IV. Provider business mailing address

3525 TABARD LN
FREDERICK MD
21704-7385
US

V. Phone/Fax

Practice location:
  • Phone: 202-706-9650
  • Fax:
Mailing address:
  • Phone: 202-706-9650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberRN1045055
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberR227297
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR227297
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: