IndividualActive
Johnson Omolewa
NPI 1255087946 · Home Health Registered Nurse · Bowie, MD
Provider details
- NPI number
- 1255087946
- Entity type
- Individual
- Primary specialty
- Home Health Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- R247887 (MD)
Specialties & taxonomies
Nursing Service Providers
Practice location
2900 Antler Ct S
Bowie, MD 20716-1339
Phone: (443) 356-5196
Approximate (ZIP-level) locationGet directions
Mailing address
2900 Antler Ct S
Bowie, MD 20716-1339
Registry dates
- Enumerated
- 2022-02-22
- Last updated
- 2022-02-22
- Certified
- 2022-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.