Provider Demographics
NPI:1093399081
Name:OKAFOR, OLUWABUKUNOLA OLANREWAJU
Entity Type:Individual
Prefix:
First Name:OLUWABUKUNOLA
Middle Name:OLANREWAJU
Last Name:OKAFOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5715 6TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-2001
Mailing Address - Country:US
Mailing Address - Phone:202-878-5282
Mailing Address - Fax:
Practice Address - Street 1:5715 6TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-2001
Practice Address - Country:US
Practice Address - Phone:202-878-5282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-06
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA00191438376K00000X
DCHHA200002855374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's Aide