Individual ProviderOluyemisi OgunyemiNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address8007 Race Horse Ln, Bowie, MD 20715-3302(443) 618-4436PECOS EnrollmentBased on the most recent information from CMS, provider Oluyemisi Ogunyemi 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 today at 9:43 AM.Profile DetailsProvider ID1972054831Provider TypeIndividualFull NameOgunyemi, OluyemisiGenderFemaleSole ProprietorYesEnumeration Date10/16/2016Last Updated10/16/2016Contact InformationPractice LocationPractice Address8007 Race Horse Ln, Bowie, MD 20715-3302Phone(443) 618-4436FaxUnlisted FaxMailing LocationMailing Address8007 Race Horse Ln, Bowie, MD 20715-3302Phone(443) 618-4436FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR116590Maryland