Provider Demographics
NPI:1235908187
Name:OLAWOYIN, ANIKE ABIDEMI (NP)
Entity Type:Individual
Prefix:MS
First Name:ANIKE
Middle Name:ABIDEMI
Last Name:OLAWOYIN
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 1:8626 HOPEWELL CT
Mailing Address - Street 2:
Mailing Address - City:CAMBY
Mailing Address - State:IN
Mailing Address - Zip Code:46113-8129
Mailing Address - Country:US
Mailing Address - Phone:317-874-8337
Mailing Address - Fax:
Practice Address - Street 1:8626 HOPEWELL CT
Practice Address - Street 2:
Practice Address - City:CAMBY
Practice Address - State:IN
Practice Address - Zip Code:46113-8129
Practice Address - Country:US
Practice Address - Phone:317-874-8337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN2023126553363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health