Godwin O Ayole Sr, in Laurel, MD - Licensed Practical Nurse

Godwin O Ayole Sr, is a Licensed Practical Nurse based in Laurel, Maryland. Godwin O Ayole Sr is licensed to practice in Maryland (license number LP47096) and his current practice location is 9900 Washington Blvd N, #411, Laurel, Maryland. He can be reached at his office (for appointments etc.) via phone at (940) 595-9425.

NPI number for Godwin O Ayole Sr is 1639558265 and his current mailing address is 9900 Washington Blvd, N, #411, Laurel, Maryland. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639558265.

Contact Information

	Godwin O Ayole Sr,
	9900 Washington Blvd N, #411, Laurel, MD 20723-1971
	(940) 595-9425
	Not Available

Provider's Profile

Full Name	Godwin O Ayole Sr
Gender	Male
Speciality	Licensed Practical Nurse
Location	9900 Washington Blvd N, Laurel, Maryland
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1639558265
Provider Enumeration Date: 05/28/2015
Last Update Date: 05/28/2015

Medical Identifiers

Medical identifiers for Godwin O Ayole Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639558265	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164W00000X	Licensed Practical Nurse	LP47096 (Maryland)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Godwin O Ayole Sr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Godwin O Ayole Sr, 9900 Washington Blvd, N, #411, Laurel, MD 20723 Ph: (940) 595-9425	Godwin O Ayole Sr, 9900 Washington Blvd N, #411, Laurel, MD 20723-1971 Ph: (940) 595-9425

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Godwin O Ayole Sr, - Licensed Practical Nurse in Laurel, MD