Provider Demographics
NPI:1437747805
Name:ADEDOJA, OLAYEMI IYABODE (DNP-CRNP)
Entity Type:Individual
Prefix:DR
First Name:OLAYEMI
Middle Name:IYABODE
Last Name:ADEDOJA
Suffix:
Gender:F
Credentials:DNP-CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9630 TRINITY CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE HALL
Mailing Address - State:MD
Mailing Address - Zip Code:20622-3649
Mailing Address - Country:US
Mailing Address - Phone:240-413-7635
Mailing Address - Fax:
Practice Address - Street 1:9630 TRINITY CHURCH RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE HALL
Practice Address - State:MD
Practice Address - Zip Code:20622-3649
Practice Address - Country:US
Practice Address - Phone:240-413-7635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-01
Last Update Date:2021-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR217668363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily