Provider Demographics
NPI:1689209439
Name:ADEKUNLE, TIMILEHIN S (RN)
Entity Type:Individual
Prefix:
First Name:TIMILEHIN
Middle Name:S
Last Name:ADEKUNLE
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 1:3411 WALNUT BEND LN APT 1211
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-4811
Mailing Address - Country:US
Mailing Address - Phone:832-677-4026
Mailing Address - Fax:
Practice Address - Street 1:3411 WALNUT BEND LN APT 1211
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-4811
Practice Address - Country:US
Practice Address - Phone:832-677-4026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-11
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX970527163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse