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Contact Information

MARILYN O BANKOLE, CRNP
12447 CLARKSVILLE PIKE STE 2A
CLARKSVILLE, MD21029-1568
 Phone: 240-444-1495
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARILYN O BANKOLE · (Female)

NPI # 1124857248
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 07/29/2024
Last updated 07/29/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MD License # R212973
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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