Provider Demographics
NPI:1508166398
Name:OLALEKAN, YEMI (CRNP-AC)
Entity Type:Individual
Prefix:MRS
First Name:YEMI
Middle Name:
Last Name:OLALEKAN
Suffix:
Gender:F
Credentials:CRNP-AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5913 HARFORD AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21207-5024
Mailing Address - Country:US
Mailing Address - Phone:443-527-9119
Mailing Address - Fax:
Practice Address - Street 1:22 SOUTH GREEN STREET
Practice Address - Street 2:UNIVERSITY OF MARYLAND MEDICAL CENTER
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201
Practice Address - Country:US
Practice Address - Phone:410-328-2702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR156312363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care