Provider Demographics
NPI:1073227880
Name:OPEBIYI, DOLAPO FUNMILAYO (NP)
Entity Type:Individual
Prefix:
First Name:DOLAPO
Middle Name:FUNMILAYO
Last Name:OPEBIYI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4020 MILDRED DR
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27523-6207
Mailing Address - Country:US
Mailing Address - Phone:617-515-3540
Mailing Address - Fax:
Practice Address - Street 1:7560 CARPENTER FIRE STATION RD
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-9650
Practice Address - Country:US
Practice Address - Phone:617-515-3540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-06
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC50174862084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty