Individual ProviderAnuoluwapo OtuyeluNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address15509 Overchase Ln, Bowie, MD 20715-4618(301) 254-3362PECOS EnrollmentBased on the most recent information from CMS, provider Anuoluwapo Otuyelu does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1487285771Provider TypeIndividualFull NameOtuyelu, AnuoluwapoGenderFemaleSole ProprietorYesEnumeration Date1/27/2020Last Updated1/27/2020Contact InformationPractice LocationPractice Address15509 Overchase Ln, Bowie, MD 20715-4618Phone(301) 254-3362FaxUnlisted FaxMailing LocationMailing Address15509 Overchase Ln, Bowie, MD 20715-4618Phone(301) 254-3362FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN1008264District of Columbia