Provider Demographics
NPI:1508639006
Name:OLAONIPEKUN, TOLULOPE (RN)
Entity Type:Individual
Prefix:
First Name:TOLULOPE
Middle Name:
Last Name:OLAONIPEKUN
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 1:9612 ALLERTON TER
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-2977
Mailing Address - Country:US
Mailing Address - Phone:240-602-3175
Mailing Address - Fax:
Practice Address - Street 1:9612 ALLERTON TER
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-2977
Practice Address - Country:US
Practice Address - Phone:240-602-3175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN528707163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WS0200XNursing Service ProvidersRegistered NurseSchoolGroup - Single Specialty