Individual ProviderOlayinka SogbolaNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address4500 Forbes Blvd Ste 200, Lanham, MD 20706-6316(240) 571-2453PECOS EnrollmentBased on the most recent information from CMS, provider Olayinka Sogbola is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1467132027Provider TypeIndividualFull NameSogbola, OlayinkaCredentialCRNP-PMHGenderFemaleSole ProprietorYesEnumeration Date7/19/2023Last Updated11/2/2023Contact InformationPractice LocationPractice Address4500 Forbes Blvd Ste 200, Lanham, MD 20706-6316Phone(240) 571-2453FaxUnlisted FaxMailing LocationMailing Address4500 Forbes Blvd Ste 200, Lanham, MD 20706-6316Phone(240) 571-2453FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR198186Maryland