Provider Demographics
NPI:1275858060
Name:OJOYEYI, FEYISAYO OMOTUNRAYO (RN)
Entity Type:Individual
Prefix:
First Name:FEYISAYO
Middle Name:OMOTUNRAYO
Last Name:OJOYEYI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:334 PIERCE ST NE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55413-2512
Mailing Address - Country:US
Mailing Address - Phone:612-379-4811
Mailing Address - Fax:612-379-4811
Practice Address - Street 1:334 PIERCE ST NE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55413-2512
Practice Address - Country:US
Practice Address - Phone:612-379-4811
Practice Address - Fax:612-379-4811
Is Sole Proprietor?:No
Enumeration Date:2010-04-05
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN106539-0163W00000X, 163WH0200X
374U00000X, 376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163W00000XNursing Service ProvidersRegistered Nurse
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker