Provider Demographics
NPI:1508145400
Name:OLADOYIN, FLORENCE FOLUKE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:FLORENCE
Middle Name:FOLUKE
Last Name:OLADOYIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4504 N LAURENT ST
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-2743
Mailing Address - Country:US
Mailing Address - Phone:361-573-9999
Mailing Address - Fax:
Practice Address - Street 1:4504 N LAURENT ST
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-2743
Practice Address - Country:US
Practice Address - Phone:361-573-9999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX530564363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily