Provider Demographics
NPI:1649562158
Name:ONABAJO, ATINUKE OYINLOLA
Entity Type:Individual
Prefix:
First Name:ATINUKE
Middle Name:OYINLOLA
Last Name:ONABAJO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7429 MONTGOMERY RD
Mailing Address - Street 2:APT 313
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-4190
Mailing Address - Country:US
Mailing Address - Phone:513-745-9086
Mailing Address - Fax:
Practice Address - Street 1:7429 MONTGOMERY RD
Practice Address - Street 2:APT 313
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-4190
Practice Address - Country:US
Practice Address - Phone:513-745-9086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-03
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN143815164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse