Moreira-Wilson, Olukemi Antonia

Moreira-Wilson, Olukemi Antonia is an individual health care provider with primary practice located at 9135 Piscataway Rd Ste 300 , Clinton MD 20735-2554. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Moreira-Wilson, Olukemi Antonia can be contacted via phone (800) 910-1742.

Contact Information

Primary practice address
9135 Piscataway Rd Ste 300 Clinton MD 20735-2554
Phone: (800) 910-1742
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA031357 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110003287 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0004263 Maryland

Profile Details

NPI number 1255644423
LBN Legal business name Moreira-Wilson, Olukemi Antonia
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2010
Last updated Sep 29th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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