Provider Demographics
NPI:1235882903
Name:OLAYERA-AKINBOYE, CHRISTIANA OLUWAKEMI (NP)
Entity Type:Individual
Prefix:
First Name:CHRISTIANA
Middle Name:OLUWAKEMI
Last Name:OLAYERA-AKINBOYE
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 1:2408 HENSON DR
Mailing Address - Street 2:
Mailing Address - City:MARRIOTTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21104-1162
Mailing Address - Country:US
Mailing Address - Phone:141-090-0992
Mailing Address - Fax:
Practice Address - Street 1:4615 PARK HEIGHTS AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-6331
Practice Address - Country:US
Practice Address - Phone:443-423-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-01
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR229852363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health