Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Olukorede Gisanrin

Individual provider Family Nurse Practitioner · NPI 1548094840

Dr. Olukorede Gisanrin is a Family Nurse Practitioner in Upper Marlboro, Maryland. Licensed in Maryland. Registered with an NPI since 2024.

Licensed in
MD
In the registry since
2024
Specialties on file
2

Practice location Address checks out

9600 Marilyn Ivy Ct
Upper Marlboro, MD 20772-4509
Phone: (240) 533-8778
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R192641 (MD)
Registered Nurse Taxonomy 163W00000X · Licence R192641 (MD)

Record details

NPI number1548094840
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 28, 2024
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024
Mailing address9600 Marilyn Ivy Ct, Upper Marlboro, MD 20772-4509

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