Provider Demographics
NPI:1467786905
Name:ADEOYE, OLANIYI SAMUEL (RN MPH)
Entity Type:Individual
Prefix:
First Name:OLANIYI
Middle Name:SAMUEL
Last Name:ADEOYE
Suffix:
Gender:M
Credentials:RN MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8209 SAN JOSE ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76002-3796
Mailing Address - Country:US
Mailing Address - Phone:443-655-3711
Mailing Address - Fax:
Practice Address - Street 1:8209 SAN JOSE STREET
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76002
Practice Address - Country:US
Practice Address - Phone:443-655-3711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-01
Last Update Date:2009-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRN 152469163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health