Provider Demographics
NPI:1568136588
Name:AWOUVI, ADJOVI ODILONE (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MISS
First Name:ADJOVI
Middle Name:ODILONE
Last Name:AWOUVI
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3234 HEWITT AVE APT 19
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-4984
Mailing Address - Country:US
Mailing Address - Phone:301-852-1662
Mailing Address - Fax:
Practice Address - Street 1:9520 GEORGIA AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-1436
Practice Address - Country:US
Practice Address - Phone:301-585-3136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-03
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDF07210805363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily