Provider Demographics
NPI:1548596208
Name:OYEDELE, DEBORAH O (RN)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:O
Last Name:OYEDELE
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 1:7 CROSSWAY RD
Mailing Address - Street 2:
Mailing Address - City:BEACON
Mailing Address - State:NY
Mailing Address - Zip Code:12508-1101
Mailing Address - Country:US
Mailing Address - Phone:914-462-6238
Mailing Address - Fax:845-765-0851
Practice Address - Street 1:7 CROSSWAY RD
Practice Address - Street 2:
Practice Address - City:BEACON
Practice Address - State:NY
Practice Address - Zip Code:12508-1101
Practice Address - Country:US
Practice Address - Phone:914-462-6238
Practice Address - Fax:845-765-0851
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-29
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY538313-1163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice