Provider Demographics
NPI:1710309349
Name:ABIOYE-AKANJI, OLUSEYI G (DNP)
Entity Type:Individual
Prefix:
First Name:OLUSEYI
Middle Name:G
Last Name:ABIOYE-AKANJI
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:OLUSEYI
Other - Middle Name:
Other - Last Name:ABIOYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP
Mailing Address - Street 1:1515 SMITH ST STE A
Mailing Address - Street 2:
Mailing Address - City:NORTH PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02911-2947
Mailing Address - Country:US
Mailing Address - Phone:401-490-9550
Mailing Address - Fax:401-490-9221
Practice Address - Street 1:1515 SMITH ST STE A
Practice Address - Street 2:
Practice Address - City:NORTH PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02911-2947
Practice Address - Country:US
Practice Address - Phone:401-490-9550
Practice Address - Fax:401-490-9221
Is Sole Proprietor?:No
Enumeration Date:2014-01-16
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RINPP37826363L00000X
RIAPRN01379363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner