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

Oluwabusuyi Ogunsola

Individual provider Family Nurse Practitioner · NPI 1629794821

Oluwabusuyi Ogunsola is a Nurse Practitioner in Largo, Maryland. Qualified in 2022, 4 years ago. Licensed in Maryland.

Years since qualifying
4
Licensed in
MD
In the registry since
2022

Practice location Address checks out

1221 Mercantile Ln
Largo, MD 20774-5374
Phone: (310) 386-6775
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 195073 (MD)

Record details

NPI number1629794821
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 19, 2022
Last updated in NPPESOctober 19, 2022
Certification dateOctober 19, 2022
Mailing address1221 Mercantile Ln, Upper Marlboro, MD 20774-5374

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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