Provider Demographics
NPI:1144686569
Name:ADEKOYA, OLOLADE AYOMIDE (DNP, PMHNP)
Entity type:Individual
Prefix:MS
First Name:OLOLADE
Middle Name:AYOMIDE
Last Name:ADEKOYA
Suffix:
Gender:F
Credentials:DNP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7845 OAKWOOD RD STE 205
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-4257
Mailing Address - Country:US
Mailing Address - Phone:240-223-0633
Mailing Address - Fax:
Practice Address - Street 1:7845 OAKWOOD RD STE 205
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-4257
Practice Address - Country:US
Practice Address - Phone:240-223-0633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR200359363LF0000X, 363LP0808X
VA0024176595363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily