Provider Demographics
NPI:1144488859
Name:ADEYINKA, OLUWATOYIN ABOSEDE (RN)
Entity type:Individual
Prefix:
First Name:OLUWATOYIN
Middle Name:ABOSEDE
Last Name:ADEYINKA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4309 FRUITWOOD CT
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-3574
Mailing Address - Country:US
Mailing Address - Phone:301-807-0277
Mailing Address - Fax:301-860-0256
Practice Address - Street 1:7207 HANOVER PKWY STE C&D
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2015
Practice Address - Country:US
Practice Address - Phone:301-807-0277
Practice Address - Fax:301-860-0256
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-29
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR164059163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse