Provider Demographics
NPI:1518246214
Name:OSINLOYE, OLAYINKA OLAYEMI (NP)
Entity Type:Individual
Prefix:MRS
First Name:OLAYINKA
Middle Name:OLAYEMI
Last Name:OSINLOYE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2530 W ALLENS PEAK DR
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85144-4642
Mailing Address - Country:US
Mailing Address - Phone:480-590-8162
Mailing Address - Fax:480-590-8162
Practice Address - Street 1:2530 W ALLENS PEAK DR
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85144-4642
Practice Address - Country:US
Practice Address - Phone:480-590-8162
Practice Address - Fax:480-590-8162
Is Sole Proprietor?:No
Enumeration Date:2011-08-11
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP5107363L00000X
AZ187744163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ060519Medicaid
TN1524996Medicaid