Provider Demographics
NPI:1083906457
Name:ORIOWO, OLUREMI (RN)
Entity Type:Individual
Prefix:MRS
First Name:OLUREMI
Middle Name:
Last Name:ORIOWO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:OLUREMI
Other - Middle Name:
Other - Last Name:AJUMOBI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:725 S LUDLOW ST
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45402-2610
Mailing Address - Country:US
Mailing Address - Phone:937-208-2004
Mailing Address - Fax:037-208-8828
Practice Address - Street 1:725 S LUDLOW STREET
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402-2601
Practice Address - Country:US
Practice Address - Phone:937-208-2004
Practice Address - Fax:937-208-8828
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN. 314339163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHRN314339OtherRN LICENSE