TITILOLA IYUN


Address: 5900 Millrace Ct, Apt A204, Columbia, MD 21045-5288
Phone: 4435624899

TITILOLA IYUN (NPI# 1538526074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538526074
Entity Type Individual
Full Name TITILOLA IYUN
Practice Address 5900 Millrace Ct
Apt A204
Columbia
MD 21045-5288
Practice Telephone 4435624899
Mailing Telephone 4435624899
Enumeration Date 2016-01-27
Last Update Date 2016-01-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LC0200X Nurse Practitioner
Specialization: Critical Care Medicine
RN1038620 DC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5900 MILLRACE CT
APT A204
City COLUMBIA
State MD
Zip Code 21045-5288

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Taxonomy Information

Taxonomy Code 363LC0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City COLUMBIA
Zip Code 21045

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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