Provider Demographics
NPI:1235805649
Name:ADELOYE, ANUOLUWA YETUNDE
Entity Type:Individual
Prefix:
First Name:ANUOLUWA
Middle Name:YETUNDE
Last Name:ADELOYE
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 1:7501 RIVERDALE RD APT 2011
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-3706
Mailing Address - Country:US
Mailing Address - Phone:240-784-0826
Mailing Address - Fax:240-784-0826
Practice Address - Street 1:7501 RIVERDALE RD APT 2011
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-3706
Practice Address - Country:US
Practice Address - Phone:240-784-0826
Practice Address - Fax:240-784-0826
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty