Provider Demographics
NPI:1326819509
Name:AYODELE, OYINTOKUNBO OYINRONKE (RN)
Entity Type:Individual
Prefix:
First Name:OYINTOKUNBO
Middle Name:OYINRONKE
Last Name:AYODELE
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 1:9635 BARREL HOUSE RD APT B
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-1529
Mailing Address - Country:US
Mailing Address - Phone:240-593-3197
Mailing Address - Fax:
Practice Address - Street 1:9635 BARREL HOUSE RD APT B
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-1529
Practice Address - Country:US
Practice Address - Phone:240-593-3197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR194650163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse